Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09103 | Date 28/12/2020 |
| Token No | SM/25-26/6590 26/09/2025 | Serial | 019 Last Visit: 26/09/2025 |
| Patient Name | Mrs. LABANI SADHUKHAN | Contact No | 8981422974 |
| Address | 32/35 KHAS BAGAN LANE BAIDYABATI M | Age | 32 Years,8 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 136/88 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 152.3 cm BMI: 26.729564 |
| Diagnosis | |||