Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01233 | Date 19/09/2018 |
| Token No | SM/22-23/17199 28/09/2022 | Serial | 010 Last Visit: 08/02/2024 |
| Patient Name | Mrs. MOMTAJ BEGAM | Contact No | 8013558845 |
| Address | 18, CHATRA MUSALMAN PARA | Age | 41 Years,1 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||