Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12004 | Date 27/03/2023 |
| Token No | SM/24-25/40988 26/12/2024 | Serial | 052 Last Visit: 19/05/2025 |
| Patient Name | Miss SHARMISTHA DAS | Contact No | 8910499962 |
| Address | 1/1A DYTTA PARA LANE CHATRA | Age | 33 Years,5 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 33.553714 |
| Diagnosis | |||