Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00252 | Date 08/08/2018 |
| Token No | SM/24-25/31945 30/04/2024 | Serial | 012 Last Visit: 10/10/2025 |
| Patient Name | Mrs. KALPANA GOSWAMI | Contact No | 6291823920 |
| Address | CHOWDHURY PARA, DOLTALA, CHATRA | Age | 64 Years,9 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.4 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 19.813733 |
| Diagnosis | |||