Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06490 | Date 20/09/2019 |
| Token No | SM/19-20/10787 20/09/2019 | Serial | 078 Last Visit: 11/03/2024 |
| Patient Name | Mrs. BEBI BIBI | Contact No | 9875427846 |
| Address | 20 KANAI DEWAN TALA LANE CHATRA | Age | 27 Years,2 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||