Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14911 | Date 27/01/2025 |
| Token No | SM/25-26/743 25/04/2025 | Serial | 006 Last Visit: 20/06/2025 |
| Patient Name | Mrs. MAYA DAS | Contact No | 9062166104 |
| Address | 92 G T ROAD SHEORAPHULI, BAIDYABATI (M) | Age | 68 Years,5 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 144/77 mmHg | Weight | 54.6 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 24.266667 |
| Diagnosis | |||