Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12595 | Date 09/10/2023 |
| Token No | SM/22-23/25927 04/11/2023 | Serial | 019 Last Visit: 29/11/2025 |
| Patient Name | Mrs. MADHUCHANDA BHATTACHARYA | Contact No | 9339114313 |
| Address | 47/B KUMIR JALA ROAD | Age | 45 Years,1 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 96/64 mmHg | Weight | 63.7 KG |
| Pulse Rate | / min | Height | 155.2 cm BMI: 26.445757 |
| Diagnosis | |||