Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12490 | Date 19/09/2023 |
| Token No | SM/22-23/24515 19/09/2023 | Serial | 027 Last Visit: 12/02/2025 |
| Patient Name | Mrs. TANUJA BIBI | Contact No | 7439095187 |
| Address | 28/A CHATRA MUSALMAN PARA BYE LANE | Age | 38 Years,1 Months,12 Days Female |
| Token For | Visit Doctor,Medicine, | Charge | Chargable |
| B.P | 125/67 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||