Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13761 | Date 28/05/2024 |
| Token No | SM/25-26/5437 29/08/2025 | Serial | 052 Last Visit: 14/11/2025 |
| Patient Name | Mrs. CHHABI DAS | Contact No | 9007301013 |
| Address | 132/4, GHOSAL PARA NABAGRAM BAIDYABATI (M) | Age | 64 Years,7 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.9 KG |
| Pulse Rate | / min | Height | 136 cm BMI: 26.438149 |
| Diagnosis | |||