Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14308 | Date 30/09/2024 |
| Token No | SM/25-26/5700 04/09/2025 | Serial | 050 Last Visit: 04/09/2025 |
| Patient Name | Mrs. SHARMILA KOLEY | Contact No | 9231512708 |
| Address | 447 (294) G T ROAD CHATRA BOWBAZAR BAIDYABATI (M) | Age | 45 Years,7 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.9 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 27.349701 |
| Diagnosis | |||