Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02626 | Date 21/12/2018 |
| Token No | SM/22-23/15307 03/08/2022 | Serial | 002 Last Visit: 03/08/2022 |
| Patient Name | Mrs. JHUMPI BEGAM | Contact No | 9007274830 |
| Address | CHATRA BOUBAZAR | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 150.2 cm BMI: 22.163081 |
| Diagnosis | |||