Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03954 | Date 02/03/2019 |
| Token No | SM/18-19/9953 06/03/2019 | Serial | 043 Last Visit: 14/06/2021 |
| Patient Name | Mrs. RUKMINI DEVI | Contact No | 8777423274 |
| Address | ROY GHAT LANE | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||