Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02778 | Date 02/01/2019 |
| Token No | SM/25-26/6759 09/10/2025 | Serial | 019 Last Visit: 27/12/2025 |
| Patient Name | Mrs. KABITA RAY | Contact No | 9748202208 |
| Address | CHATRA LANKAR BAGAN , BAIDYABATI (M) | Age | 54 Years,11 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 138/80 mmHg | Weight | 54.1 KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 22.373631 |
| Diagnosis | |||