Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09830 | Date 10/07/2021 |
| Token No | SM/21-22/3070 10/07/2021 | Serial | 010 Last Visit: 10/07/2021 |
| Patient Name | Mrs. SARASWATI KOLEY | Contact No | 9330093016 |
| Address | DIARA | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||