Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15958 | Date 29/08/2025 |
| Token No | SM/25-26/6100 12/09/2025 | Serial | 058 Last Visit: 12/09/2025 |
| Patient Name | Mrs. ANITA NATH | Contact No | 9433893211 |
| Address | 58 G T ROAD BAIDYABATI (M) | Age | 65 Years,4 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.3 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 27.072681 |
| Diagnosis | |||