Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16058 | Date 13/09/2025 |
| Token No | SM/25-26/6154 13/09/2025 | Serial | 027 Last Visit: 13/09/2025 |
| Patient Name | Mrs. DALI BARMAN | Contact No | 9432386362 |
| Address | CHATRA BHADURI PARA | Age | 68 Years,8 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68.2 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 31.347314 |
| Diagnosis | |||