Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15735 | Date 22/07/2025 |
| Token No | SM/25-26/3951 22/07/2025 | Serial | 003 Last Visit: 18/08/2025 |
| Patient Name | Mrs. SUCHHANDA BASALI | Contact No | 7980379169 |
| Address | 10/D G.T. ROAD BAIDYABATI(M) | Age | 33 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62.7 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 28.241971 |
| Diagnosis | |||