Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04737 | Date 17/04/2019 |
| Token No | SM/25-26/8816 13/12/2025 | Serial | 065 Last Visit: 13/12/2025 |
| Patient Name | Mrs. MALI SOM | Contact No | 9874632694 |
| Address | 17 CHATRA DUTTA PARA LANE | Age | 44 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 121/80 mmHg | Weight | 86.5 KG |
| Pulse Rate | 87 / min | Height | 151 cm BMI: 37.936933 |
| Diagnosis | |||