Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13305 | Date 21/02/2024 |
| Token No | SM/25-26/555 19/04/2025 | Serial | 025 Last Visit: 16/10/2025 |
| Patient Name | Mrs. MADHABI GHOSH | Contact No | 9874916721 |
| Address | 20/8/3 TELIPARA CHATRA BAIDYABATI(M) | Age | 56 Years,9 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 133/86 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 25.847703 |
| Diagnosis | |||