Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00363 | Date 11/08/2018 |
| Token No | SM/21-22/5615 29/09/2021 | Serial | 003 Last Visit: 29/11/2025 |
| Patient Name | Mrs. REBA CHOWDHURY | Contact No | 8336829455 |
| Address | 21 CHATRA DOLTALA | Age | 52 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||