Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12110 | Date 23/05/2023 |
| Token No | SM/25-26/7793 10/11/2025 | Serial | 013 Last Visit: 12/11/2025 |
| Patient Name | Mrs. KAKALI BHAKAT | Contact No | 6290436708 |
| Address | 6/B KANAI DEWAN TALA LANE | Age | 31 Years,10 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77.6 KG |
| Pulse Rate | / min | Height | 162.8 cm BMI: 29.278776 |
| Diagnosis | |||