Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 16227 | Date 03/11/2025 |
| Token No | SM/25-26/7576 03/11/2025 | Serial | 078 Last Visit: 03/11/2025 |
| Patient Name | Mrs. SIKHA BHATTACHARYA | Contact No | 9903275184 |
| Address | 1/C/1 D N MUKHERJEE ROAD , BAIDYABATI (M) | Age | 40 Years,7 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 131/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||