Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04919 | Date 26/04/2019 |
| Token No | SM/22-23/20074 28/01/2023 | Serial | 022 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 | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 154.6 cm BMI: 21.337876 |
| Diagnosis | |||