Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01005 | Date 08/09/2018 |
| Token No | SM/19-20/22377 19/05/2020 | Serial | 027 Last Visit: 24/08/2022 |
| Patient Name | Mrs. IRA DAS | Contact No | 9933624955 |
| Address | GOPALPUR | Age | 47.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||