Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14623 | Date 29/11/2024 |
| Token No | SM/24-25/40073 29/11/2024 | Serial | 024 Last Visit: 16/07/2025 |
| Patient Name | Mrs. BANASRI KOLLEY | Contact No | 9002290950 |
| Address | 63/1 GODAR BAGAN LANE BAIDYABATI (M) | Age | 47 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 144/ mmHg | Weight | 59.6 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 29.145679 |
| Diagnosis | |||