Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00206 | Date 07/08/2018 |
| Token No | SM/18-19/790 23/08/2018 | Serial | 039 Last Visit: 14/07/2025 |
| Patient Name | Mrs. MENOKA SHAW | Contact No | 8017970699 |
| Address | 24, TINBAZAR | Age | 50 Years,6 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 85/64 mmHg | Weight | 52.5 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||