Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15242 | Date 28/04/2025 |
| Token No | SM/25-26/999 03/05/2025 | Serial | 040 Last Visit: 08/12/2025 |
| Patient Name | Mrs. ALPANA DUTTA | Contact No | |
| Address | 93/A CHATRA BARUI PARA SERAMPORE | Age | 66 Years,2 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.6 KG |
| Pulse Rate | / min | Height | 141 cm BMI: 19.918515 |
| Diagnosis | |||