Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15615 | Date 25/06/2025 |
| Token No | SM/25-26/2915 25/06/2025 | Serial | 031 Last Visit: 25/06/2025 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 9051270487 |
| Address | 242 G.T. ROAD ,BAGHER BAGAN,BAIDYABATI(M) | Age | 43 Years,5 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.2 KG |
| Pulse Rate | / min | Height | 141.6 cm BMI: 28.029142 |
| Diagnosis | |||