Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02626 | Date 21/12/2018 |
| Token No | SM/18-19/5570 21/12/2018 | Serial | 020 Last Visit: 03/08/2022 |
| Patient Name | Mrs. JHUMPI BEGAM | Contact No | 9007274830 |
| Address | CHATRA BOUBAZAR | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||