Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00293 | Date 10/08/2018 |
| Token No | SM/19-20/24755 06/08/2020 | Serial | 030 Last Visit: 05/10/2021 |
| Patient Name | Mrs. KUMKUM PAL | Contact No | 9051108175 |
| Address | CHATRA KUMAR PARA | Age | 90 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||