Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11738 | Date 03/12/2022 |
| Token No | SM/22-23/18553 03/12/2022 | Serial | 036 Last Visit: 25/09/2025 |
| Patient Name | Miss TIASHA DAS | Contact No | 6291220438 |
| Address | 1/A DHARMATALA BYE LANE CHATRA | Age | 26 Years,11 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 20.312500 |
| Diagnosis | |||