Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09103 | Date 28/12/2020 |
| Token No | SM/21-22/8083 24/12/2021 | Serial | 016 Last Visit: 26/09/2025 |
| Patient Name | Mrs. LABANI SADHUKHAN | Contact No | 8981422974 |
| Address | 32/35 KHAS BAGAN LANE BAIDYABATI M | Age | 32 Years,8 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | 151.8 cm BMI: 27.556889 |
| Diagnosis | |||