Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00012 | Date 01/08/2018 |
| Token No | SM/22-23/20519 10/03/2023 | Serial | 005 Last Visit: 02/05/2024 |
| Patient Name | Mrs. SHANKARI CHOWDHURY | Contact No | |
| Address | CHATRA CHOWDHURY PARA | Age | 64 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 164/71 mmHg | Weight | 56 KG |
| Pulse Rate | 90/m / min | Height | cm BMI: inf |
| Diagnosis | |||