Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16343 | Date 04/12/2025 |
| Token No | SM/25-26/8598 04/12/2025 | Serial | 044 Last Visit: 04/12/2025 |
| Patient Name | Mrs. MITHU DAS | Contact No | 8274809863 |
| Address | 49 VIVEKANAND SARANI , BAIDYABATI (M) | Age | 42 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 127/81 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||