Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13263 | Date 12/02/2024 |
| Token No | SM/24-25/31177 08/04/2024 | Serial | 017 Last Visit: 19/12/2025 |
| Patient Name | Mrs. MOUMITA DAS | Contact No | 7980017669 |
| Address | 16 NO PN K BANERJEE LANE | Age | 38 Years,11 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67.7 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 28.178980 |
| Diagnosis | |||