Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12361 | Date 24/08/2023 |
| Token No | SM/25-26/5764 06/09/2025 | Serial | 025 Last Visit: 18/10/2025 |
| Patient Name | Mrs. MADHUMITA MAJHI | Contact No | 8240825360 |
| Address | 13/C CHATRA DUTTA PARA , SERAMPORE | Age | 26 Years,10 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||