Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 14571 | Date 20/11/2024 |
| Token No | SM/25-26/6220 16/09/2025 | Serial | 004 Last Visit: 19/09/2025 |
| Patient Name | Mrs. KALPONA PAL | Contact No | 9339501723 |
| Address | 13/ABARUIPARA LANE | Age | 73 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.5 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 28.537507 |
| Diagnosis | |||