Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 14237 | Date 07/09/2024 |
| Token No | SM/25-26/7308 25/10/2025 | Serial | 014 Last Visit: 03/12/2025 |
| Patient Name | Mrs. JAYTI CHAKRABORTY | Contact No | 8274988043 |
| Address | 28/2 N T ROAD BAIDYABATI | Age | 67 Years,5 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.2 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 25.455523 |
| Diagnosis | |||