Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16052 | Date 13/09/2025 |
| Token No | SM/25-26/7362 29/10/2025 | Serial | 010 Last Visit: 29/10/2025 |
| Patient Name | Mrs. PARAMA DAS | Contact No | 9874575017 |
| Address | BARA KAMALPUR BORA | Age | 32 Years,3 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.4 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 27.756263 |
| Diagnosis | |||