Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02202 | Date 29/11/2018 |
| Token No | SM/25-26/3472 12/07/2025 | Serial | 027 Last Visit: 12/07/2025 |
| Patient Name | Mrs. RUPA MARIK | Contact No | 9903918250 |
| Address | 44 CHATRA BARUI PARA | Age | 43 Years,6 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.3 KG |
| Pulse Rate | / min | Height | 143.2 cm BMI: 19.652555 |
| Diagnosis | |||