Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16257 | Date 10/11/2025 |
| Token No | SM/25-26/8777 13/12/2025 | Serial | 026 Last Visit: 13/12/2025 |
| Patient Name | Mrs. KARABI DAS | Contact No | 9874628210 |
| Address | 43/60 CHAKRABORTY LANE,BAIDYABATI(M) | Age | 52 Years,3 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 135/63 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 144.7 cm BMI: 26.267917 |
| Diagnosis | |||