Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 15806 | Date 31/07/2025 |
| Token No | SM/25-26/4334 31/07/2025 | Serial | 016 Last Visit: 31/07/2025 |
| Patient Name | Mrs. AZMIRA KHATUN | Contact No | 700119304 |
| Address | 9, ARABINDA SARANI,CHATRA | Age | 19 Years,1 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.6 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 21.314855 |
| Diagnosis | |||