Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09379 | Date 22/03/2021 |
| Token No | SM/20-21/31046 22/03/2021 | Serial | 024 Last Visit: 22/03/2021 |
| Patient Name | Mrs. NAJNI KHATUM | Contact No | 7439060885 |
| Address | CHATRA, | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||