Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01142 | Date 14/09/2018 |
| Token No | SM/18-19/1666 14/09/2018 | Serial | 032 Last Visit: 16/07/2025 |
| Patient Name | Mrs. MITHU DAS | Contact No | 9038485220 |
| Address | CHATRA SACHTASI PARA BAIDYABATI (M) | Age | 46 Years,6 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 143/93 mmHg | Weight | 63 KG |
| Pulse Rate | 120 / min | Height | cm BMI: inf |
| Diagnosis | |||