Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06537 | Date 25/09/2019 |
| Token No | SM/25-26/14416 27/08/2026 at 10:48 | Serial | 034 Last Visit: 27/08/2026 |
| Patient Name | Mrs. DIPALI DHARA | Contact No | 9007325578 |
| Address | 28 DR. BAGAN LANE | Age | 50 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.4 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 28.873853 |
| Diagnosis | |||