Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13832 | Date 07/06/2024 |
| Token No | SM/25-26/5269 25/08/2025 | Serial | 084 Last Visit: 15/11/2025 |
| Patient Name | Mrs. ARCHANA CHANDA | Contact No | 6290778500 |
| Address | 80/G VIVEKANANDA SARANI BAIDYABATI (M) | Age | 57 Years,9 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.7 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 23.708348 |
| Diagnosis | |||