Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11132 | Date 15/06/2022 |
| Token No | SM/22-23/21603 12/05/2023 | Serial | 012 Last Visit: 10/11/2025 |
| Patient Name | Mrs. REKHA LAHA | Contact No | 9874666510 |
| Address | 104/A BARUI PARA FAST LANE , HAORA | Age | 79 Years,10 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 24.444444 |
| Diagnosis | |||