Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11041 | Date 25/05/2022 |
| Token No | SM/25-26/5875 08/09/2025 | Serial | 066 Last Visit: 08/09/2025 |
| Patient Name | Mrs. SAMPA DAS | Contact No | 9674155197 |
| Address | 16/Y RAJA K.L. GOSWAMI STREET | Age | 32 Years,11 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 101/89 mmHg | Weight | 65.7 KG |
| Pulse Rate | / min | Height | 154.3 cm BMI: 27.595198 |
| Diagnosis | |||