Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01388 | Date 27/09/2018 |
| Token No | SM/18-19/2162 27/09/2018 | Serial | 043 Last Visit: 23/09/2025 |
| Patient Name | Mrs. BANHISHIKHA GUIN | Contact No | 9331810846 |
| Address | 54/D CHATRA SHITALA TALA,BAIDABITI | Age | 47 Years,8 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 114/78 mmHg | Weight | 61 KG |
| Pulse Rate | 93 / min | Height | cm BMI: inf |
| Diagnosis | |||