Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11317 | Date 22/07/2022 |
| Token No | SM/25-26/357 11/04/2025 | Serial | 009 Last Visit: 11/04/2025 |
| Patient Name | Mrs. JYOSTNA MIDDEY | Contact No | 9123906749 |
| Address | 131/A TELIPARA,BAGER BAGAN,BAIDYABATI(M) | Age | 33 Years,7 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.5 KG |
| Pulse Rate | / min | Height | 152.6 cm BMI: 28.986428 |
| Diagnosis | |||