Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02408 | Date 08/12/2018 |
| Token No | SM/20-21/29885 29/01/2021 | Serial | 010 Last Visit: 10/06/2022 |
| Patient Name | Mrs. JHARNA PARUI | Contact No | 8335925922 |
| Address | CHATRA LANKAR BAGAN | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||