Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 16307 | Date 21/11/2025 |
| Token No | SM/25-26/8199 21/11/2025 | Serial | 017 Last Visit: 21/11/2025 |
| Patient Name | Mrs. GITA LAHA | Contact No | 9339085898 |
| Address | 26A BARUI PARA LANE CHATRA SERAMPORE | Age | 60 Years,9 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | 142.5 cm BMI: 17.728532 |
| Diagnosis | |||