Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 16146 | Date 09/10/2025 |
| Token No | SM/25-26/7786 10/11/2025 | Serial | 006 Last Visit: 10/11/2025 |
| Patient Name | Mrs. ANADRITA SAU | Contact No | 7479309213 |
| Address | 32/6 DR.BAGAN LANE | Age | 34 Years,9 Months,12 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49.5 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 22.296293 |
| Diagnosis | |||