Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01621 | Date 11/10/2018 |
| Token No | SM/22-23/25226 11/10/2023 | Serial | 036 Last Visit: 11/10/2023 |
| Patient Name | Miss RASADA KHATUN | Contact No | 9748983741 |
| Address | MILKI BADAM TALA | Age | 36 Years,9 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||