Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15571 | Date 16/06/2025 |
| Token No | SM/25-26/3148 02/07/2025 | Serial | 059 Last Visit: 02/07/2025 |
| Patient Name | Mrs. SULATA SOM | Contact No | 6291293845 |
| Address | 68 A CHATRA BARUI PARA LANE | Age | 45 Years,2 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 104/65 mmHg | Weight | 51.3 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 22.800000 |
| Diagnosis | |||