Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 16280 | Date 17/11/2025 |
| Token No | SM/25-26/8170 20/11/2025 | Serial | 015 Last Visit: 20/11/2025 |
| Patient Name | Mrs. MITHU BISWAS | Contact No | 9681352439 |
| Address | 222/11 MUKHERJEE PARA DURBAR SANGHA CLUB , CHATRA BAIDYABATI (M) | Age | 40 Years,6 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 17.543090 |
| Diagnosis | |||