Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15882 | Date 11/08/2025 |
| Token No | SM/25-26/7233 22/10/2025 | Serial | 003 Last Visit: 06/11/2025 |
| Patient Name | Mrs. BASANTI DAS | Contact No | 9674345397 |
| Address | CHATRA TETULTALA , BAIDYABATI (M) | Age | 52 Years,10 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 107/67 mmHg | Weight | 59.2 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 26.311111 |
| Diagnosis | |||