Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12884 | Date 11/12/2023 |
| Token No | SM/25-26/432 12/04/2025 | Serial | 046 Last Visit: 04/12/2025 |
| Patient Name | Miss NARGIS RAHAMAN | Contact No | 7602543688 |
| Address | MADHABPUR SOUTH TWENTY FOUR PARGANAS | Age | 29 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||