Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06840 | Date 11/11/2019 |
| Token No | SM/19-20/13062 11/11/2019 | Serial | 104 Last Visit: 23/04/2024 |
| Patient Name | Mrs. ANJANA JHA | Contact No | |
| Address | RISHRA , BANGUR PARK | Age | 50 Years,3 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||