Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00160 | Date 06/08/2018 |
| Token No | SM/18-19/2441 04/10/2018 | Serial | 039 Last Visit: 03/09/2024 |
| Patient Name | Mrs. RAJINA BIBI | Contact No | 9874876616 |
| Address | 21, MUSALMAN PARA BYE LANE, CHATRA | Age | 31 Years,10 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||