Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15957 | Date 29/08/2025 |
| Token No | SM/25-26/5727 05/09/2025 | Serial | 017 Last Visit: 17/11/2025 |
| Patient Name | Mrs. CHAINA MAITY | Contact No | 8481845037 |
| Address | 24 MUKHERJEE PARA CHATRA BAIDYABATI M | Age | 56 Years,10 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.2 KG |
| Pulse Rate | / min | Height | 141 cm BMI: 28.771189 |
| Diagnosis | |||