Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02966 | Date 11/01/2019 |
| Token No | SM/25-26/5512 01/09/2025 | Serial | 004 Last Visit: 18/09/2025 |
| Patient Name | Mrs. MOUSUMI DE | Contact No | 8820344589 |
| Address | 4 CHATRA CHOWDHURY PARA | Age | 42 Years,8 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/76 mmHg | Weight | 48.4 KG |
| Pulse Rate | / min | Height | 143.5 cm BMI: 23.503988 |
| Diagnosis | |||