Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15285 | Date 12/05/2025 |
| Token No | SM/25-26/4783 11/08/2025 | Serial | 058 Last Visit: 11/08/2025 |
| Patient Name | Mrs. PAPIYA CHAKRABORTY | Contact No | 9836020131 |
| Address | 18 BHADURI LANE JANMOBHUMI KUNJA BLOCK -B FLAT NO. 504, SERAMPORE | Age | 58 Years,9 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 108/75 mmHg | Weight | 65.7 KG |
| Pulse Rate | / min | Height | 162 cm BMI: 25.034294 |
| Diagnosis | |||