Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01388 | Date 27/09/2018 |
| Token No | SM/24-25/38232 15/10/2024 | Serial | 031 Last Visit: 23/09/2025 |
| Patient Name | Mrs. BANHISHIKHA GUIN | Contact No | 9331810846 |
| Address | 54/D CHATRA SHITALA TALA,BAIDABITI | Age | 47 Years,8 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66.5 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 26.470559 |
| Diagnosis | |||