Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09741 | Date 23/06/2021 |
| Token No | SM/24-25/32550 15/05/2024 | Serial | 051 Last Visit: 15/05/2024 |
| Patient Name | Mrs. RINA CHOWDHURY | Contact No | |
| Address | 9/4 PROVASNAGAR | Age | 39 Years,4 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||