Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03518 | Date 12/02/2019 |
| Token No | SM/19-20/7725 01/08/2019 | Serial | 056 Last Visit: 11/10/2025 |
| Patient Name | Mrs. BADRUN NISA | Contact No | 6290477527 |
| Address | TINBAJAR | Age | 62 Years,9 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||