Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 15612 | Date 25/06/2025 |
| Token No | SM/25-26/4346 31/07/2025 | Serial | 028 Last Visit: 31/07/2025 |
| Patient Name | Mrs. SREEJANI DAS | Contact No | 6290427349 |
| Address | 53, NABAKRISHNA GUIN LANE | Age | 25 Years,7 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 92.1 KG |
| Pulse Rate | / min | Height | 156.2 cm BMI: 37.748315 |
| Diagnosis | |||