Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16073 | Date 18/09/2025 |
| Token No | SM/25-26/6408 23/09/2025 | Serial | 018 Last Visit: 27/11/2025 |
| Patient Name | Mrs. PAPRI RAY | Contact No | 9330758791 |
| Address | P N MUKHERJEE STREET | Age | 25 Years,3 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||