Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14553 | Date 18/11/2024 |
| Token No | SM/25-26/4893 14/08/2025 | Serial | 021 Last Visit: 14/08/2025 |
| Patient Name | Miss MALIKA PANDIT | Contact No | |
| Address | CHATRA LANKAR BAGAN | Age | 41 Years,7 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40.5 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 18.489774 |
| Diagnosis | |||