Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09665 | Date 01/06/2021 |
| Token No | SM/21-22/2193 12/06/2021 | Serial | 015 Last Visit: 04/10/2021 |
| Patient Name | Mrs. RIYA PAL | Contact No | 9674885519 |
| Address | 102,59 G.T ROAD SHEORAPHULI | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||