Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06519 | Date 23/09/2019 |
| Token No | SM/24-25/42788 12/02/2025 | Serial | 011 Last Visit: 21/02/2025 |
| Patient Name | Mrs. SHARBANI DAS | Contact No | 9874922092 |
| Address | 14/A DHARMATALA BYE LANE | Age | 65 Years,1 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 147.2 cm BMI: 29.998375 |
| Diagnosis | |||