Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13585 | Date 22/04/2024 |
| Token No | SM/24-25/31607 22/04/2024 | Serial | 041 Last Visit: 22/04/2024 |
| Patient Name | Mrs. KARUNA LAHA | Contact No | |
| Address | 17/1 CHATRA TETUL TALA BAZAR | Age | 47 Years,3 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||