Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03120 | Date 21/01/2019 |
| Token No | SM/22-23/19408 03/01/2023 | Serial | 027 Last Visit: 28/11/2025 |
| Patient Name | Mrs. ISITA ASH | Contact No | 9051743338 |
| Address | 14A DUTTS LANE | Age | 54 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 23.601277 |
| Diagnosis | |||