Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06874 | Date 15/11/2019 |
| Token No | SM/25-26/998 03/05/2025 | Serial | 039 Last Visit: 26/05/2025 |
| Patient Name | Mrs. JYOTSNA PAKRE | Contact No | 9836512358 |
| Address | 77/96/5, RAMKRISHNA ROAD , CHATRA SERAMPORE | Age | 36 Years,5 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.7 KG |
| Pulse Rate | / min | Height | 159 cm BMI: 27.965666 |
| Diagnosis | |||