Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04381 | Date 25/03/2019 |
| Token No | SM/19-20/17500 03/02/2020 | Serial | 030 Last Visit: 17/11/2023 |
| Patient Name | Mrs. ROJINA BEGAM | Contact No | 9674695710 |
| Address | CHATRA MUSALMAN PARA | Age | 36 Years,0 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||