Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 17192 | Date 27/08/2026 |
| Token No | SM/25-26/14421 27/08/2026 at 10:53 | Serial | 039 Last Visit: 27/08/2026 |
| Patient Name | Mrs. SHIKHA DAS | Contact No | 9748496379 |
| Address | 1 SHIBTALA LANE BAIDYABATI(M) | Age | 50 Years,11 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 116/73 mmHg | Weight | 39 KG |
| Pulse Rate | 109 / min | Height | 150 cm BMI: 17.333333 |
| Diagnosis | |||