Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06527 | Date 24/09/2019 |
| Token No | SM/19-20/18278 18/02/2020 | Serial | 013 Last Visit: 07/10/2025 |
| Patient Name | Mrs. BELA GUIN | Contact No | 7278172330 |
| Address | 90/1 CHATRA BARUIPARA LANE | Age | 57 Years,9 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||