Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14103 | Date 29/07/2024 |
| Token No | SM/25-26/8325 27/11/2025 | Serial | 012 Last Visit: 08/12/2025 |
| Patient Name | Mrs. CHHANDA BAIRAGI | Contact No | 8478875527 |
| Address | 268,GT ROAD,BAIDYABATI,HOOGHLY | Age | 50 Years,0 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 143.5 cm BMI: 27.680317 |
| Diagnosis | |||