Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05694 | Date 08/07/2019 |
| Token No | SM/25-26/7926 13/11/2025 | Serial | 015 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SWAPNA BAG | Contact No | 9874945177 |
| Address | 42 CHATRA BARUI PARA LANE | Age | 62 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 183/86 mmHg | Weight | 67.4 KG |
| Pulse Rate | / min | Height | 151.3 cm BMI: 29.442999 |
| Diagnosis | |||