Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10572 | Date 18/01/2022 |
| Token No | SM/25-26/4313 30/07/2025 | Serial | 078 Last Visit: 30/07/2025 |
| Patient Name | Mrs. MOUMITA BAG | Contact No | 7688015793 |
| Address | 24/A MUSALMAN PARA ROAD | Age | 33 Years,6 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 34.010135 |
| Diagnosis | |||