Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15178 | Date 28/03/2025 |
| Token No | SM/25-26/147 04/04/2025 | Serial | 042 Last Visit: 21/11/2025 |
| Patient Name | Mrs. SABITA ROY | Contact No | 9062091928 |
| Address | 61/CSADGOPE PARA LANE BAIDYABATI (M) | Age | 54 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.1 KG |
| Pulse Rate | / min | Height | 143.5 cm BMI: 29.671357 |
| Diagnosis | |||