Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15024 | Date 17/02/2025 |
| Token No | SM/24-25/43010 17/02/2025 | Serial | 046 Last Visit: 28/08/2025 |
| Patient Name | Mrs. CHINTA PAL | Contact No | 9477417102 |
| Address | 254/43 TELIPARA BAIDYABATI (M) | Age | 53 Years,7 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 165/101 mmHg | Weight | 68.1 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 29.867111 |
| Diagnosis | |||