Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14774 | Date 10/01/2025 |
| Token No | SM/24-25/41505 10/01/2025 | Serial | 002 Last Visit: 10/01/2025 |
| Patient Name | Mrs. SUMITRA DAS | Contact No | 7044761249 |
| Address | 20/B BARA BAGAN LANE | Age | 64 Years,0 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 25.566107 |
| Diagnosis | |||