Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11687 | Date 18/11/2022 |
| Token No | SM/25-26/5237 25/08/2025 | Serial | 052 Last Visit: 19/09/2025 |
| Patient Name | Mrs. HENA SOM | Contact No | 7044905600 |
| Address | 17B DUTTA LANE CHATRA SERAMPORE | Age | 62 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 172/103 mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||