Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13015 | Date 23/12/2023 |
| Token No | SM/24-25/32372 11/05/2024 | Serial | 005 Last Visit: 12/03/2025 |
| Patient Name | Mrs. KALPANA LAHIRI | Contact No | 9831796030 |
| Address | 57/A/1 G T ROAD TENTULTALA BAIDYABTI (M) | Age | 54 Years,5 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 24.196494 |
| Diagnosis | |||