Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09812 | Date 07/07/2021 |
| Token No | SM/25-26/5485 30/08/2025 | Serial | 039 Last Visit: 20/09/2025 |
| Patient Name | Miss SHARMITA SHEE | Contact No | 8697585484 |
| Address | 45 A CHATRA BARUI PARA LANE SERAMPORE | Age | 29 Years,10 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.2 KG |
| Pulse Rate | / min | Height | 159.4 cm BMI: 23.299418 |
| Diagnosis | |||