Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13300 | Date 20/02/2024 |
| Token No | SM/25-26/6098 12/09/2025 | Serial | 056 Last Visit: 12/09/2025 |
| Patient Name | Miss SATABDI KHAN | Contact No | 7044575656 |
| Address | 39A/4 CHATRA BARUI PARA | Age | 27 Years,4 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78.8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||