Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15773 | Date 28/07/2025 |
| Token No | SM/25-26/4209 28/07/2025 | Serial | 017 Last Visit: 28/07/2025 |
| Patient Name | Mrs. SARBANI LAHA | Contact No | 9124716657 |
| Address | P N MUKHERJEE STREET | Age | 50 Years,0 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 28.194284 |
| Diagnosis | |||