Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09601 | Date 10/05/2021 |
| Token No | SM/21-22/1282 10/05/2021 | Serial | 030 Last Visit: 10/05/2021 |
| Patient Name | Mrs. BIBHA DEBI GIRI | Contact No | 9433457383 |
| Address | 5 MUSALMAN PARA(TIKIYA PARA) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||