Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14911 | Date 27/01/2025 |
| Token No | SM/24-25/43014 17/02/2025 | Serial | 050 Last Visit: 20/06/2025 |
| Patient Name | Mrs. MAYA DAS | Contact No | 9062166104 |
| Address | 92 G T ROAD SHEORAPHULI, BAIDYABATI (M) | Age | 68 Years,5 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.3 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 24.133333 |
| Diagnosis | |||