Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04078 | Date 08/03/2019 |
| Token No | SM/21-22/2439 22/06/2021 | Serial | 028 Last Visit: 24/09/2021 |
| Patient Name | Mrs. RADHA RANI BHUIYA | Contact No | 9051148450 |
| Address | 5 SIDESWARI TALA | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||