Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16354 | Date 11/12/2025 |
| Token No | SM/25-26/8939 18/12/2025 | Serial | 043 Last Visit: 18/12/2025 |
| Patient Name | Mrs. KARABI MONDAL | Contact No | 7044158523 |
| Address | MADHUSUDANPUR NAYASARAI BALAGARH | Age | 29 Years,6 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 15.659780 |
| Diagnosis | |||