Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11745 | Date 08/12/2022 |
| Token No | SM/25-26/3743 18/07/2025 | Serial | 015 Last Visit: 13/09/2025 |
| Patient Name | Mrs. RUPALI SANNYASHI | Contact No | 9433752779 |
| Address | 32/B, CHOWDHURY PARA BYE LANE , SERAMPORE,HOOGHLY ,CHATRA | Age | 50 Years,8 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 111/73 mmHg | Weight | 51.6 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 23.242196 |
| Diagnosis | |||