Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12065 | Date 03/05/2023 |
| Token No | SM/25-26/2894 25/06/2025 | Serial | 010 Last Visit: 28/06/2025 |
| Patient Name | Miss RUPASHREE MANDAL | Contact No | 9051799705 |
| Address | 79/ A.A.P GHOSH ROAD CHATRA | Age | 31 Years,5 Months,26 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64.8 KG |
| Pulse Rate | / min | Height | 156.3 cm BMI: 26.525101 |
| Diagnosis | |||