Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00571 | Date 20/08/2018 |
| Token No | SM/25-26/5511 01/09/2025 | Serial | 003 Last Visit: 26/11/2025 |
| Patient Name | Mrs. CHHOBI BANERJEE | Contact No | 9874542873 |
| Address | 15, P.N MUKHERJEE STREET CHATRA | Age | 67 Years,10 Months,24 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54.7 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 21.911553 |
| Diagnosis | |||