Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01230 | Date 19/09/2018 |
| Token No | SM/18-19/7108 19/01/2019 | Serial | 041 Last Visit: 05/06/2024 |
| Patient Name | Mrs. NAJIMA BIBI | Contact No | 7059224785 |
| Address | 20 CHATRA KUMAR PARA | Age | 37 Years,5 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||