Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05532 | Date 24/06/2019 |
| Token No | SM/19-20/5714 02/07/2019 | Serial | 004 Last Visit: 15/02/2022 |
| Patient Name | Mrs. GITA ADHIKARI | Contact No | |
| Address | 10 P. N MUKHERJEE STREET | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||