Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13646 | Date 04/05/2024 |
| Token No | SM/25-26/13 01/04/2025 | Serial | 013 Last Visit: 16/05/2025 |
| Patient Name | Mrs. SRIJANI DAS | Contact No | 7439832887 |
| Address | 3/B GHOSH PARA 2ND LANE CHATRA | Age | 20 Years,8 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||