Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00828 | Date 29/08/2018 |
| Token No | SM/24-25/32074 03/05/2024 | Serial | 039 Last Visit: 03/05/2024 |
| Patient Name | Mrs. PINKI BIBI | Contact No | |
| Address | 5/A MUSALMAN PARA, CHATRA | Age | 23 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||