Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13819 | Date 06/06/2024 |
| Token No | SM/24-25/33316 06/06/2024 | Serial | 002 Last Visit: 31/10/2025 |
| Patient Name | Mrs. KHUSHBOO | Contact No | 7044742861 |
| Address | 10/D.ROY M.C, LAHIRI STREET | Age | 28 Years,1 Months,24 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44.1 KG |
| Pulse Rate | / min | Height | 141.5 cm BMI: 22.025497 |
| Diagnosis | |||