Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13640 | Date 03/05/2024 |
| Token No | SM/24-25/32040 03/05/2024 | Serial | 005 Last Visit: 03/05/2024 |
| Patient Name | Mrs. TUHINA BEGUM | Contact No | 8100501078 |
| Address | 127A.P GHOSH LANE | Age | 32 Years,4 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||