Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15672 | Date 11/07/2025 |
| Token No | SM/25-26/5995 10/09/2025 | Serial | 076 Last Visit: 10/12/2025 |
| Patient Name | Mrs. ANIMA MITRA | Contact No | 8240799195 |
| Address | 32 BHADURI PARA LANE | Age | 58 Years,4 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.5 KG |
| Pulse Rate | / min | Height | 147.6 cm BMI: 24.098310 |
| Diagnosis | |||