Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15121 | Date 12/03/2025 |
| Token No | SM/24-25/43823 12/03/2025 | Serial | 006 Last Visit: 28/03/2025 |
| Patient Name | Mrs. MAMONI MARJIT | Contact No | 8910462956 |
| Address | CHOTOBELU BELUMILKI | Age | 38 Years,5 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66.3 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 28.322440 |
| Diagnosis | |||