Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16012 | Date 08/09/2025 |
| Token No | SM/25-26/5824 08/09/2025 | Serial | 015 Last Visit: 10/09/2025 |
| Patient Name | Mrs. JAYANTI GANGAPUTRA PRADHAN | Contact No | 8697712204 |
| Address | 41 AP GHOSH ROAD CHATRA SERAMPORE | Age | 54 Years,8 Months,9 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57.4 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 25.174334 |
| Diagnosis | |||