Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04919 | Date 26/04/2019 |
| Token No | SM/19-20/1704 26/04/2019 | Serial | 016 Last Visit: 10/01/2025 |
| Patient Name | Mrs. SAMPA DAS | Contact No | 9239314067 |
| Address | 105 4 CHOWDHURY PARA LANE | Age | 47 Years,0 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||