Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03275 | Date 01/02/2019 |
| Token No | SM/24-25/36786 04/09/2024 | Serial | 026 Last Visit: 18/08/2025 |
| Patient Name | Mrs. RUPA DAS | Contact No | 9239358714 |
| Address | 48 SATCHASI PARA CHATRA SERAMPORE | Age | 63 Years,7 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.6 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 26.371886 |
| Diagnosis | |||