Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12270 | Date 22/07/2023 |
| Token No | SM/25-26/8342 27/11/2025 | Serial | 029 Last Visit: 27/11/2025 |
| Patient Name | Mrs. ANIMA MITRA | Contact No | 6290726565 |
| Address | 131/2 SHITALA TALA ROAD BAIDYABATI(M) | Age | 58 Years,6 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66.8 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 29.296961 |
| Diagnosis | |||