Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15956 | Date 29/08/2025 |
| Token No | SM/25-26/5402 29/08/2025 | Serial | 017 Last Visit: 19/09/2025 |
| Patient Name | Mrs. SANGITA PAL | Contact No | 9681764506 |
| Address | 8/J DOCTOR BAGAN LANE | Age | 52 Years,8 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.4 KG |
| Pulse Rate | / min | Height | 149.4 cm BMI: 19.444131 |
| Diagnosis | |||