Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02526 | Date 14/12/2018 |
| Token No | SM/25-26/6395 23/09/2025 | Serial | 005 Last Visit: 17/12/2025 |
| Patient Name | Mrs. MIRA DEY | Contact No | 9051957062 |
| Address | 18 CHATRA CHAPA TALA LANE | Age | 70 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.2 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 23.891967 |
| Diagnosis | |||