Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15387 | Date 26/05/2025 |
| Token No | SM/25-26/5022 18/08/2025 | Serial | 079 Last Visit: 03/12/2025 |
| Patient Name | Mrs. SABITA MONDAL | Contact No | 9831687138 |
| Address | BELUMILKI,CHOTOBELU | Age | 64 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.7 KG |
| Pulse Rate | / min | Height | 149.8 cm BMI: 25.267335 |
| Diagnosis | |||