Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 15627 | Date 28/06/2025 |
| Token No | SM/25-26/4096 25/07/2025 | Serial | 034 Last Visit: 13/12/2025 |
| Patient Name | Mrs. RUNU LAHA KUNDU | Contact No | 9830237301 |
| Address | 222/9 MUKHERJEE PARA LANE | Age | 58 Years,11 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.5 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 26.972501 |
| Diagnosis | |||