Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01439 | Date 01/10/2018 |
| Token No | SM/25-26/5001 18/08/2025 | Serial | 058 Last Visit: 18/08/2025 |
| Patient Name | Mrs. SUMATI DUTTA | Contact No | 9163582446 |
| Address | 93/B CHATRA BARUI PARA | Age | 57 Years,7 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 144.5 cm BMI: 27.777445 |
| Diagnosis | |||