Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14652 | Date 06/12/2024 |
| Token No | SM/25-26/6121 12/09/2025 | Serial | 079 Last Visit: 12/09/2025 |
| Patient Name | Mrs. JHARNA ADHIKARY | Contact No | 9836298936 |
| Address | 14/A JALAPARA ,NABAGRAM,BAIDYABATI(M) | Age | 49 Years,7 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.9 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 25.976991 |
| Diagnosis | |||