Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02426 | Date 08/12/2018 |
| Token No | SM/21-22/5737 04/10/2021 | Serial | 058 Last Visit: 29/10/2025 |
| Patient Name | Mrs. BEHULA BAG | Contact No | |
| Address | MILKI BADAM TALA | Age | 64 Years,9 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||