Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00114 | Date 04/08/2018 |
| Token No | SM/19-20/25097 24/08/2020 | Serial | 039 Last Visit: 17/09/2024 |
| Patient Name | Mrs. CHOBI BARIK | Contact No | |
| Address | 57, CHATRA TETUL TALA | Age | 41 Years,8 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||