Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12600 | Date 09/10/2023 |
| Token No | SM/25-26/5543 01/09/2025 | Serial | 035 Last Visit: 01/09/2025 |
| Patient Name | Mrs. SUMI RAJAK | Contact No | 8906365855 |
| Address | MC ROY BAHADUR STREET | Age | 42 Years,8 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.7 KG |
| Pulse Rate | / min | Height | 140 cm BMI: 29.948980 |
| Diagnosis | |||