Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03966 | Date 02/03/2019 |
| Token No | SM/18-19/10049 07/03/2019 | Serial | 052 Last Visit: 21/03/2024 |
| Patient Name | Miss SABINA KHATUN | Contact No | 9123385478 |
| Address | 8 ARABINDA SARANI | Age | 22 Years,9 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||