Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15959 | Date 29/08/2025 |
| Token No | SM/25-26/6101 12/09/2025 | Serial | 059 Last Visit: 12/09/2025 |
| Patient Name | Mrs. NAMITA AOUN | Contact No | 9748200202 |
| Address | 19/10 SHITALATALA ROAD GODAR BAGAN, BAIDYABATI (M) | Age | 55 Years,8 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.2 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 21.280118 |
| Diagnosis | |||