Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07304 | Date 08/01/2020 |
| Token No | SM/22-23/25760 31/10/2023 | Serial | 026 Last Visit: 31/10/2023 |
| Patient Name | Mrs. SARNO BAG | Contact No | |
| Address | 7 BARUI PARA RATIN NANDI | Age | 55 Years,9 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||