Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14814 | Date 14/01/2025 |
| Token No | SM/25-26/4240 30/07/2025 | Serial | 005 Last Visit: 26/11/2025 |
| Patient Name | Mrs. TANDRA DAS | Contact No | 7595882541 |
| Address | 10 JAGABANDHU LANE CHATRA SERAMPORE | Age | 36 Years,8 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.6 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 22.956744 |
| Diagnosis | |||