Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13572 | Date 15/04/2024 |
| Token No | SM/24-25/31445 15/04/2024 | Serial | 056 Last Visit: 16/05/2025 |
| Patient Name | Mrs. MOUMITA DAS | Contact No | 7001205530 |
| Address | PAKUR MASAT | Age | 30 Years,11 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41.5 KG |
| Pulse Rate | / min | Height | 144.5 cm BMI: 19.875241 |
| Diagnosis | |||