Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13305 | Date 21/02/2024 |
| Token No | SM/22-23/29386 21/02/2024 | Serial | 007 Last Visit: 16/10/2025 |
| Patient Name | Mrs. MADHABI GHOSH | Contact No | 9874916721 |
| Address | 20/8/3 TELIPARA CHATRA BAIDYABATI(M) | Age | 56 Years,9 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.9 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 25.802356 |
| Diagnosis | |||