Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15900 | Date 14/08/2025 |
| Token No | SM/25-26/4892 14/08/2025 | Serial | 020 Last Visit: 14/08/2025 |
| Patient Name | Mrs. TILOTTAMA KHILAR | Contact No | |
| Address | 33 CHATRA CHOWDHURY PARA BYE LANE SERAMPORE | Age | 63 Years,3 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 149/91 mmHg | Weight | 63.3 KG |
| Pulse Rate | / min | Height | 141 cm BMI: 31.839445 |
| Diagnosis | |||