Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14461 | Date 28/10/2024 |
| Token No | SM/25-26/7944 14/11/2025 | Serial | 001 Last Visit: 14/11/2025 |
| Patient Name | Mrs. SITA SARDER | Contact No | |
| Address | BAGHER BAGAN ,TETUL TALA | Age | 69 Years,10 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.6 KG |
| Pulse Rate | / min | Height | 128.2 cm BMI: 28.962157 |
| Diagnosis | |||