Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08147 | Date 25/04/2020 |
| Token No | SM/20-21/30395 05/03/2021 | Serial | 017 Last Visit: 28/12/2022 |
| Patient Name | Mrs. SOMA SINGH | Contact No | 9874665076 |
| Address | 121/A PATUA PARA LANE | Age | 44 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||