Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 16259 | Date 10/11/2025 |
| Token No | SM/25-26/7811 10/11/2025 | Serial | 031 Last Visit: 10/11/2025 |
| Patient Name | Mrs. MOUTUSI BHAKAT | Contact No | 6291455915 |
| Address | 17 NONA DANGA ROAD,BAIDYABATI(M) | Age | 27 Years,10 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 152.8 cm BMI: 32.122886 |
| Diagnosis | |||