Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09265 | Date 02/03/2021 |
| Token No | SM/20-21/30269 02/03/2021 | Serial | 032 Last Visit: 02/03/2021 |
| Patient Name | Mrs. RUPA MALIK | Contact No | 9830497269 |
| Address | 4 BHADURIPARA LANE | Age | 35 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||