Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15738 | Date 23/07/2025 |
| Token No | SM/25-26/4008 23/07/2025 | Serial | 038 Last Visit: 23/07/2025 |
| Patient Name | Mrs. SUBRATAN BIBI | Contact No | 9875408718 |
| Address | 49/A CHATRA MUSALMAN PARA ROAD | Age | 85 Years,6 Months,21 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 149/78 mmHg | Weight | 39.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||