Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 15085 | Date 05/03/2025 |
| Token No | SM/25-26/6004 10/09/2025 | Serial | 085 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SUMANA LAHIRI | Contact No | 9836714902 |
| Address | PANCHU BABUR BAZAR,FLAT NO.508 A 4TH FLOOR 659,G.T. ROAD | Age | 43 Years,8 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.1 KG |
| Pulse Rate | / min | Height | 144 cm BMI: 28.018904 |
| Diagnosis | |||