Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00087 | Date 03/08/2018 |
| Token No | SM/22-23/30604 21/03/2024 | Serial | 061 Last Visit: 26/07/2024 |
| Patient Name | Mrs. ALPNA LAHA | Contact No | |
| Address | CHATRA SHITLATALA | Age | 51 Years,6 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 117/71 mmHg | Weight | 45 KG |
| Pulse Rate | 101 / min | Height | cm BMI: inf |
| Diagnosis | |||