Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03352 | Date 04/02/2019 |
| Token No | SM/25-26/6998 14/10/2025 | Serial | 012 Last Visit: 15/10/2025 |
| Patient Name | Mrs. TARA KUNDU | Contact No | 8100676415 |
| Address | 149 SHITALATALA ROAD CHATRA TETUL TALA BAZAR,BAIDYABATI(M) | Age | 62 Years,6 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.2 KG |
| Pulse Rate | / min | Height | 144.2 cm BMI: 26.065662 |
| Diagnosis | |||