Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12595 | Date 09/10/2023 |
| Token No | SM/25-26/8444 29/11/2025 | Serial | 034 Last Visit: 29/11/2025 |
| Patient Name | Mrs. MADHUCHANDA BHATTACHARYA | Contact No | 9339114313 |
| Address | 47/B KUMIR JALA ROAD | Age | 45 Years,1 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.3 KG |
| Pulse Rate | / min | Height | 155.2 cm BMI: 27.940336 |
| Diagnosis | |||