Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00800 | Date 29/08/2018 |
| Token No | SM/18-19/1001 29/08/2018 | Serial | 007 Last Visit: 05/06/2023 |
| Patient Name | Mrs. SUMANTIKA HALDER | Contact No | 7449403695 |
| Address | 171/72 TELIPARA BAGER BAGAN | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 91/61 mmHg | Weight | 43 KG |
| Pulse Rate | 75 / min | Height | cm BMI: inf |
| Diagnosis | |||