Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 03857 | Date 25/02/2019 |
| Token No | SM/25-26/9783 02/03/2026 at 10:53 | Serial | 018 Last Visit: 28/01/2026 |
| Patient Name | Mrs. RITA SAHA | Contact No | 9331713186 |
| Address | 176 SEORAPHULY N S ROAD,BAIDYABATI(M) | Age | 65 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 21.367521 |
| Diagnosis | |||