Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00413 | Date 13/08/2018 |
| Token No | SM/18-19/456 13/08/2018 | Serial | 047 Last Visit: 08/04/2023 |
| Patient Name | Mrs. HEMA PARUI | Contact No | 9062335537 |
| Address | LANKAR BAGAN | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||