Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03075 | Date 18/01/2019 |
| Token No | SM/25-26/9787 02/03/2026 at 10:57 | Serial | 022 Last Visit: 02/02/2026 |
| Patient Name | Mrs. MIRA DAS | Contact No | 9432200596 |
| Address | 3C CHATRA GHOSH PARA | Age | 69 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.6 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 18.625315 |
| Diagnosis | |||