Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00386 | Date 13/08/2018 |
| Token No | SM/22-23/20067 28/01/2023 | Serial | 015 Last Visit: 25/08/2025 |
| Patient Name | Mrs. SHUKLA GOSWAMI | Contact No | 9748568072 |
| Address | 31, THAKURDAS BABU LANE | Age | 52 Years,7 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 154.3 cm BMI: 21.000912 |
| Diagnosis | |||