Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15178 | Date 28/03/2025 |
| Token No | SM/25-26/15824 26/10/2026 at 10:10 | Serial | 003 Last Visit: 26/10/2026 |
| Patient Name | Mrs. SABITA ROY | Contact No | 9062091928 |
| Address | 61/CSADGOPE PARA LANE BAIDYABATI (M) | Age | 55 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 137/73 mmHg | Weight | 57.1 KG |
| Pulse Rate | 66 / min | Height | 143.5 cm BMI: 27.728879 |
| Diagnosis | |||