Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07341 | Date 14/01/2020 |
| Token No | SM/25-26/8219 21/11/2025 | Serial | 037 Last Visit: 21/11/2025 |
| Patient Name | Mrs. NUSARAT KHATUN | Contact No | 9163515207 |
| Address | 7 KUMAER PARA,CHATRA SERAMPORE | Age | 22 Years,10 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||