Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02626 | Date 21/12/2018 |
| Token No | SM/19-20/1788 27/04/2019 | Serial | 037 Last Visit: 03/08/2022 |
| Patient Name | Mrs. JHUMPI BEGAM | Contact No | 9007274830 |
| Address | CHATRA BOUBAZAR | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||