Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02163 | Date 27/11/2018 |
| Token No | SM/19-20/13977 25/11/2019 | Serial | 086 Last Visit: 29/01/2025 |
| Patient Name | Mrs. RENU BEGUM | Contact No | 9748770251 |
| Address | 4/A CHATRA MUSALMAN PARA | Age | 44 Years,7 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||