Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15975 | Date 01/09/2025 |
| Token No | SM/25-26/5545 01/09/2025 | Serial | 037 Last Visit: 01/09/2025 |
| Patient Name | Mrs. ALPANA LAHA | Contact No | 9836839266 |
| Address | 73/1 SITALATALA ROAD CHATRA BAIDYABATI | Age | 57 Years,8 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 123/77 mmHg | Weight | 41.8 KG |
| Pulse Rate | 86 / min | Height | 148.5 cm BMI: 18.954982 |
| Diagnosis | |||