Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 00283 | Date 09/08/2018 |
| Token No | SM/24-25/32020 02/05/2024 | Serial | 072 Last Visit: 02/05/2024 |
| Patient Name | Mrs. MADHOBI ROY | Contact No | |
| Address | 18 NO N.A. ROY STREET | Age | 36 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||