Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00395 | Date 13/08/2018 |
| Token No | SM/22-23/30621 23/03/2024 | Serial | 005 Last Visit: 17/12/2025 |
| Patient Name | Mrs. SHANTI NATH | Contact No | 9836594725 |
| Address | LONKARBAGAN CHATRA, BAIDYABATI M | Age | 62 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/69 mmHg | Weight | 57.4 KG |
| Pulse Rate | / min | Height | 144 cm BMI: 27.681327 |
| Diagnosis | |||