Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 16156 | Date 10/10/2025 |
| Token No | SM/25-26/6816 10/10/2025 | Serial | 007 Last Visit: 10/10/2025 |
| Patient Name | Mrs. MALATI SHIL | Contact No | 9051391297 |
| Address | 259 CHARABAGAN BARUIPARA BAIDYABATI (M) | Age | 45 Years,7 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 126/87 mmHg | Weight | 38 KG |
| Pulse Rate | 105 / min | Height | 144 cm BMI: 18.325617 |
| Diagnosis | |||