Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05760 | Date 13/07/2019 |
| Token No | SM/19-20/6426 13/07/2019 | Serial | 090 Last Visit: 12/09/2024 |
| Patient Name | Mrs. LILUFA BEGAM | Contact No | 9674112007 |
| Address | 21 KUMOR PARA LANE | Age | 33 Years,6 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||