Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 16309 | Date 21/11/2025 |
| Token No | SM/25-26/8214 21/11/2025 | Serial | 032 Last Visit: 21/11/2025 |
| Patient Name | Mrs. BABY DAS | Contact No | 7003757605 |
| Address | 29 DAKSHIN PARA MAIN RISHRA BAMUNARI | Age | 38 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 25.631167 |
| Diagnosis | |||