Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07615 | Date 24/02/2020 |
| Token No | SM/19-20/18558 24/02/2020 | Serial | 034 Last Visit: 21/04/2022 |
| Patient Name | Mrs. TUMPA SINGH | Contact No | |
| Address | 1 CHATRA MUSALMAN PRA ROAD | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||