Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00104 | Date 04/08/2018 |
| Token No | SM/22-23/25769 31/10/2023 | Serial | 035 Last Visit: 29/06/2024 |
| Patient Name | Mrs. CHOBI SOM | Contact No | |
| Address | 24/C CHATRA BARUI PARA | Age | 63 Years,5 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 159/81 mmHg | Weight | 56 KG |
| Pulse Rate | 67 / min | Height | cm BMI: inf |
| Diagnosis | |||