Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15955 | Date 29/08/2025 |
| Token No | SM/25-26/6095 12/09/2025 | Serial | 053 Last Visit: 28/11/2025 |
| Patient Name | Mrs. JHUMA DAS | Contact No | 6289949068 |
| Address | 10 JAGA MOHON LAHIRI ROAD | Age | 40 Years,10 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 170/86 mmHg | Weight | 39.7 KG |
| Pulse Rate | / min | Height | 141.5 cm BMI: 19.827941 |
| Diagnosis | |||