Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16102 | Date 25/09/2025 |
| Token No | SM/25-26/6556 25/09/2025 | Serial | 039 Last Visit: 25/09/2025 |
| Patient Name | Mrs. BIJAYATA CHAKRABORTY | Contact No | 7029681412 |
| Address | 61/A THAKUR DAS BABU LANE | Age | 32 Years,11 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.9 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 21.057031 |
| Diagnosis | |||