Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09794 | Date 06/07/2021 |
| Token No | SM/21-22/2872 06/07/2021 | Serial | 002 Last Visit: 06/07/2021 |
| Patient Name | Mrs. SUKLA DAY | Contact No | 9339527732 |
| Address | BOROBAGAN LANE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||