Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13567 | Date 15/04/2024 |
| Token No | SM/24-25/31394 15/04/2024 | Serial | 005 Last Visit: 15/11/2025 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 7686829802 |
| Address | 92/39 LANKAR BAGAN,SATCHASHI PARA(BAIDYABATI) | Age | 55 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 29.7 KG |
| Pulse Rate | / min | Height | 147.2 cm BMI: 13.706950 |
| Diagnosis | |||