Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15793 | Date 30/07/2025 |
| Token No | SM/25-26/4250 30/07/2025 | Serial | 015 Last Visit: 05/08/2025 |
| Patient Name | Mrs. DURGA BASALI | Contact No | 7980379169 |
| Address | 16/D GODAR BAGAN BYE LANE , BAIDYABATI (M) | Age | 55 Years,5 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 115/78 mmHg | Weight | 73.1 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 31.227306 |
| Diagnosis | |||