Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07959 | Date 30/03/2020 |
| Token No | SM/21-22/1501 18/05/2021 | Serial | 021 Last Visit: 26/11/2025 |
| Patient Name | Mrs. NIGAR SULTANA | Contact No | 9883048139 |
| Address | 31/A CHATRA MUSALMAN PARA SEURAFULI | Age | 52 Years,10 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||