Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 15272 | Date 08/05/2025 |
| Token No | SM/25-26/1130 08/05/2025 | Serial | 031 Last Visit: 08/05/2025 |
| Patient Name | Mrs. SUSMITA BARAI | Contact No | 8013355704 |
| Address | CHATRA LANKAR BAGAN | Age | 18 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||