Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 16285 | Date 19/11/2025 |
| Token No | SM/25-26/8347 27/11/2025 | Serial | 034 Last Visit: 27/11/2025 |
| Patient Name | Mrs. REMA DAS | Contact No | 7003421543 |
| Address | 14 NO RAJA K.L GOSWAMI STREET | Age | 34 Years,2 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.5 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 27.333333 |
| Diagnosis | |||