Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13086 | Date 06/01/2024 |
| Token No | SM/22-23/27887 06/01/2024 | Serial | 002 Last Visit: 06/01/2024 |
| Patient Name | Mrs. BHUMI SAHA | Contact No | 8585878356 |
| Address | 107FDLCHATRA BAGER BAGAN | Age | 19 Years,1 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||