Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11997 | Date 21/03/2023 |
| Token No | SM/22-23/20775 21/03/2023 | Serial | 009 Last Visit: 24/09/2025 |
| Patient Name | Mrs. TAHARON BEGAM | Contact No | 9903608509 |
| Address | 58 CHATRA MUSALMAN PARA ROAD | Age | 52 Years,8 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||