Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04687 | Date 12/04/2019 |
| Token No | SM/25-26/5252 25/08/2025 | Serial | 067 Last Visit: 06/09/2025 |
| Patient Name | Mrs. SANCHITA SHAW | Contact No | 9062338459 |
| Address | 102 CHATRA MANNA PARA SERAMPORE | Age | 47 Years,0 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 109/66 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 23.936062 |
| Diagnosis | |||