Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06899 | Date 18/11/2019 |
| Token No | SM/25-26/6649 27/09/2025 | Serial | 033 Last Visit: 03/12/2025 |
| Patient Name | Mrs. MALATI MONDAL | Contact No | 9051108175 |
| Address | CHATRA BAGER BAGAN TELI PARA, BAIDYBATI(M) | Age | 57 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | 146 cm BMI: 18.296116 |
| Diagnosis | |||