Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15710 | Date 18/07/2025 |
| Token No | SM/25-26/4381 01/08/2025 | Serial | 029 Last Visit: 01/08/2025 |
| Patient Name | Mrs. MANIMALA KHAMARU | Contact No | 9748350181 |
| Address | 79/A TELIPARA LANE CHATRA , BAIDYABATI (M) | Age | 41 Years,7 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/86 mmHg | Weight | 78.4 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 33.491392 |
| Diagnosis | |||