Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03807 | Date 22/02/2019 |
| Token No | SM/25-26/8013 15/11/2025 | Serial | 020 Last Visit: 17/12/2025 |
| Patient Name | Mrs. SEFALI SAMANTA | Contact No | 9875331868 |
| Address | 65(20) MUKHERJEE PARA CHATRA , BAIDYABATI(M) | Age | 54 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 122/76 mmHg | Weight | 57.2 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 25.592555 |
| Diagnosis | |||