Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 15922 | Date 20/08/2025 |
| Token No | SM/25-26/5077 20/08/2025 | Serial | 038 Last Visit: 20/08/2025 |
| Patient Name | Miss SILPA DAS | Contact No | 9748732205 |
| Address | 502, G.T. ROAD,DEWAN BAGAN,BAIDYABATI(M) | Age | 33 Years,1 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 144/93 mmHg | Weight | 55.9 KG |
| Pulse Rate | / min | Height | 161.2 cm BMI: 21.512047 |
| Diagnosis | |||