Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06795 | Date 05/11/2019 |
| Token No | SM/24-25/31122 05/04/2024 | Serial | 007 Last Visit: 21/03/2025 |
| Patient Name | Mrs. BINA DAS | Contact No | 9748732205 |
| Address | 502 SHITLATALA GT ROAD DIAN BAGAN , BAIDYABATI(M) | Age | 57 Years,2 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64.2 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 26.722164 |
| Diagnosis | |||