Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05054 | Date 10/05/2019 |
| Token No | SM/24-25/43956 17/03/2025 | Serial | 042 Last Visit: 11/10/2025 |
| Patient Name | Mrs. TUMPA DAS | Contact No | 9903119259 |
| Address | CHATRA SACHTASHI PARA LANKAR BAGAN , BAIDYABATI(M) | Age | 45 Years,9 Months,9 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 114/78 mmHg | Weight | 53.7 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 24.516070 |
| Diagnosis | |||