Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01708 | Date 27/10/2018 |
| Token No | SM/19-20/18617 25/02/2020 | Serial | 017 Last Visit: 18/11/2023 |
| Patient Name | Mrs. SAHANAJ BIBI | Contact No | 8820186193 |
| Address | CHATRA MUSALMAN PARA | Age | 35 Years,10 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||