Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14295 | Date 24/09/2024 |
| Token No | SM/25-26/7696 07/11/2025 | Serial | 032 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SHARMILA GUIN | Contact No | 9832124490 |
| Address | 11/A SHITALATALA ROAD CHATRA SERAMPORE , BAIDYABATI (M) | Age | 40 Years,8 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 153/95 mmHg | Weight | 75.6 KG |
| Pulse Rate | 92 / min | Height | 153.5 cm BMI: 32.085221 |
| Diagnosis | |||