Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15912 | Date 18/08/2025 |
| Token No | SM/25-26/7479 01/11/2025 | Serial | 058 Last Visit: 01/11/2025 |
| Patient Name | Mrs. SHEFALI MAHANTA | Contact No | 8116742780 |
| Address | CHATRA BHATTCHARJEE PARA | Age | 27 Years,8 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||