Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15758 | Date 25/07/2025 |
| Token No | SM/25-26/4109 25/07/2025 | Serial | 047 Last Visit: 25/07/2025 |
| Patient Name | Mrs. RUPA KARMAKAR | Contact No | 7003504234 |
| Address | 68 SITALATALA BAIDYABATI (M) | Age | 49 Years,11 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33.8 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 14.726225 |
| Diagnosis | |||