Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12540 | Date 04/10/2023 |
| Token No | SM/25-26/6158 13/09/2025 | Serial | 031 Last Visit: 04/12/2025 |
| Patient Name | Mrs. DUKHI SARKAR (ORAON) | Contact No | 9883772794 |
| Address | 28 PATTI PARA BAIDYABATI (M) | Age | 46 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.2 KG |
| Pulse Rate | / min | Height | 146 cm BMI: 18.389942 |
| Diagnosis | |||