Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00206 | Date 07/08/2018 |
| Token No | SM/25-26/3599 14/07/2025 | Serial | 081 Last Visit: 14/07/2025 |
| Patient Name | Mrs. MENOKA SHAW | Contact No | 8017970699 |
| Address | 24, TINBAZAR | Age | 50 Years,6 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 117/70 mmHg | Weight | 55.1 KG |
| Pulse Rate | 80 / min | Height | 158.2 cm BMI: 22.016011 |
| Diagnosis | |||