Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04281 | Date 18/03/2019 |
| Token No | SM/25-26/15837 26/10/2026 at 10:35 | Serial | 016 Last Visit: 26/10/2026 |
| Patient Name | Mrs. LAKSHMI DAS | Contact No | 9433640374 |
| Address | 30/B CHATRA DHARMOTALA SERAMPORE | Age | 48 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 34.954712 |
| Diagnosis | |||