Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04295 | Date 19/03/2019 |
| Token No | SM/19-20/13110 13/11/2019 | Serial | 037 Last Visit: 08/08/2023 |
| Patient Name | Miss DEBLINA CHOWDHURY | Contact No | 9123890831 |
| Address | 29/C CHATRA CHOWDHURY PARA LANE | Age | 22 Years,7 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||