Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13834 | Date 08/06/2024 |
| Token No | SM/24-25/33430 08/06/2024 | Serial | 020 Last Visit: 17/11/2025 |
| Patient Name | Mrs. KAJAL FUSTI | Contact No | 9007542806 |
| Address | 22/3 TELIPARA CHATRA BAIDYABATI (M) | Age | 43 Years,10 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.1 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 28.080436 |
| Diagnosis | |||