Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16050 | Date 12/09/2025 |
| Token No | SM/25-26/6221 16/09/2025 | Serial | 005 Last Visit: 28/11/2025 |
| Patient Name | Mrs. SANAKA MONDAL | Contact No | 9432740135 |
| Address | 177 (73/E/R) TELIPARA BAIDYABATI (M) | Age | 67 Years,3 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.3 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 20.681154 |
| Diagnosis | |||