Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 16037 | Date 11/09/2025 |
| Token No | SM/25-26/6028 11/09/2025 | Serial | 023 Last Visit: 08/12/2025 |
| Patient Name | Mrs. BAISAKHI MAJHI | Contact No | 6290907855 |
| Address | 29/A S C CHATTERJEE SARANI SERAMPORE | Age | 33 Years,7 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64.8 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 25.957379 |
| Diagnosis | |||