Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03618 | Date 16/02/2019 |
| Token No | SM/24-25/34115 26/06/2024 | Serial | 040 Last Visit: 15/11/2025 |
| Patient Name | Mrs. SUJATA PAL | Contact No | 7687015267 |
| Address | 105/A/B CHATRA TETUL TALA ,MANIK GHOSER BAGAN,BAIDYABATI(M) | Age | 45 Years,4 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 40.7 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 17.050513 |
| Diagnosis | |||