Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03681 | Date 18/02/2019 |
| Token No | SM/22-23/14281 04/07/2022 | Serial | 052 Last Visit: 19/07/2025 |
| Patient Name | Mrs. DURGA HALDAR | Contact No | 9123967531 |
| Address | TELI PARA BAGER BAGAN CHATRA, BAIDYABATI(M) | Age | 24 Years,6 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 24.141519 |
| Diagnosis | |||