Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 15640 | Date 02/07/2025 |
| Token No | SM/25-26/6736 08/10/2025 | Serial | 035 Last Visit: 08/10/2025 |
| Patient Name | Mrs. KRISHNA DAS | Contact No | 7278165926 |
| Address | 40/4 D N MUKHERJEE ROAD , MALLICKPARA BAIDYABATI (M) | Age | 65 Years,5 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35.6 KG |
| Pulse Rate | / min | Height | 136 cm BMI: 19.247405 |
| Diagnosis | |||