Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02515 | Date 13/12/2018 |
| Token No | SM/25-26/1945 29/05/2025 | Serial | 020 Last Visit: 29/05/2025 |
| Patient Name | Mrs. RADHA BISWAS | Contact No | |
| Address | CHATRA TELIPARA | Age | 54 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||