Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11163 | Date 21/06/2022 |
| Token No | SM/25-26/4005 23/07/2025 | Serial | 035 Last Visit: 30/07/2025 |
| Patient Name | Miss SOUMI BELEL | Contact No | 9748268430 |
| Address | 25(18) K.C MUKHERJEE STREET CHATRA BAIDYABATI (M) | Age | 22 Years,6 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.2 KG |
| Pulse Rate | / min | Height | 164 cm BMI: 24.985128 |
| Diagnosis | |||