Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16261 | Date 10/11/2025 |
| Token No | SM/25-26/7826 10/11/2025 | Serial | 046 Last Visit: 14/11/2025 |
| Patient Name | Mrs. PUSHPA DUTTA | Contact No | 6290137510 |
| Address | 116 BITALA TALA ROAD,BAIDYABATI9M) | Age | 45 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 106/67 mmHg | Weight | 45 KG |
| Pulse Rate | 83 / min | Height | 163.8 cm BMI: 16.771995 |
| Diagnosis | |||