Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15946 | Date 27/08/2025 |
| Token No | SM/25-26/5327 27/08/2025 | Serial | 049 Last Visit: 27/08/2025 |
| Patient Name | Mrs. GITA SHAW | Contact No | 6289128224 |
| Address | CHATRA GODAR BAGAN , BAIDYABTI(M) | Age | 55 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 117/73 mmHg | Weight | 63.3 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 29.293350 |
| Diagnosis | |||