Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00252 | Date 08/08/2018 |
| Token No | SM/18-19/1386 08/09/2018 | Serial | 015 Last Visit: 10/10/2025 |
| Patient Name | Mrs. KALPANA GOSWAMI | Contact No | 6291823920 |
| Address | CHOWDHURY PARA, DOLTALA, CHATRA | Age | 64 Years,9 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 112/56 mmHg | Weight | 44 KG |
| Pulse Rate | 68 / min | Height | cm BMI: inf |
| Diagnosis | |||