Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04992 | Date 30/04/2019 |
| Token No | SM/25-26/5422 29/08/2025 | Serial | 037 Last Visit: 29/08/2025 |
| Patient Name | Mrs. JAYANTI DESHI | Contact No | 9748255010 |
| Address | 173 CHATRA BOU BAJAR SERAMPORE | Age | 42 Years,7 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42.7 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 19.233368 |
| Diagnosis | |||