Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 14776 | Date 10/01/2025 |
| Token No | SM/24-25/41507 10/01/2025 | Serial | 004 Last Visit: 10/01/2025 |
| Patient Name | Mrs. TUMPA DAS | Contact No | |
| Address | 20/D BARA BAGAN | Age | 38 Years,0 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 23.612751 |
| Diagnosis | |||