Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05764 | Date 13/07/2019 |
| Token No | SM/19-20/18010 13/02/2020 | Serial | 029 Last Visit: 19/06/2024 |
| Patient Name | Mrs. SEEMA BIBI | Contact No | 6291852758 |
| Address | 7 ARABINDA SARANI | Age | 45 Years,5 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||