Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07278 | Date 03/01/2020 |
| Token No | SM/20-21/25660 12/09/2020 | Serial | 022 Last Visit: 08/01/2025 |
| Patient Name | Mrs. MAMANE SAHA | Contact No | 9239092580 |
| Address | 170/54/B/A MIRPARA , BAIDYBATI (M) | Age | 38 Years,0 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||