Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15992 | Date 04/09/2025 |
| Token No | SM/25-26/5698 04/09/2025 | Serial | 048 Last Visit: 10/11/2025 |
| Patient Name | Miss SAONEE DUTTA | Contact No | 9433561739 |
| Address | 62 (25/A) GODAR BAGAN BAIDYABATI(M) | Age | 25 Years,2 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||