Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04851 | Date 23/04/2019 |
| Token No | SM/24-25/41531 10/01/2025 | Serial | 028 Last Visit: 19/09/2025 |
| Patient Name | Mrs. SANAKA ADAK | Contact No | 9903136933 |
| Address | BAHARAMPUR DHARAPARA, BAHARAMPUR, SINGUR | Age | 69 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | 149.8 cm BMI: 23.618496 |
| Diagnosis | |||