Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15619 | Date 25/06/2025 |
| Token No | SM/25-26/3997 23/07/2025 | Serial | 027 Last Visit: 23/07/2025 |
| Patient Name | Mrs. LILA BISWAS | Contact No | 9007949567 |
| Address | 16/D/G G.T ROAD,GODAR BAGAN BYE LANE.BAIDYABATI(B) | Age | 53 Years,7 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 118/68 mmHg | Weight | 75.8 KG |
| Pulse Rate | / min | Height | 161.8 cm BMI: 28.954240 |
| Diagnosis | |||