Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04107 | Date 09/03/2019 |
| Token No | SM/22-23/11719 18/04/2022 | Serial | 007 Last Visit: 07/11/2025 |
| Patient Name | Mrs. SHYAMALI PAL | Contact No | 9143466951 |
| Address | 32/20 CHATRA TETULTALA BAJAR, BAIDYABATI(M) | Age | 60 Years,10 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54. KG |
| Pulse Rate | / min | Height | 160.4 cm BMI: 20.988675 |
| Diagnosis | |||