Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15430 | Date 31/05/2025 |
| Token No | SM/25-26/7643 06/11/2025 | Serial | 034 Last Visit: 08/12/2025 |
| Patient Name | Miss ADRIJA DUTTA | Contact No | 9681247112 |
| Address | 67/A CHATRA BARUI PARA LANE | Age | 15 Years,4 Months,5 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 30.4 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 13.785441 |
| Diagnosis | |||