Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 15409 | Date 28/05/2025 |
| Token No | SM/25-26/2234 06/06/2025 | Serial | 056 Last Visit: 07/11/2025 |
| Patient Name | Mrs. GITA DAS | Contact No | 7044217061 |
| Address | 3 NO. NATUN GRAM NITYANANDA PALLY, RISHRA | Age | 40 Years,6 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.9 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 22.006961 |
| Diagnosis | |||