Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15927 | Date 23/08/2025 |
| Token No | SM/25-26/5137 23/08/2025 | Serial | 017 Last Visit: 23/08/2025 |
| Patient Name | Mr. KALPANA GUIN | Contact No | 9832124490 |
| Address | 47(68)SITALATALA ROAD BAIDYABATI 47(68)SITALATALA ROAD,BAIDYABATI(M) | Age | 57 Years,7 Months,21 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.8 KG |
| Pulse Rate | / min | Height | 152.3 cm BMI: 26.643340 |
| Diagnosis | |||