Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09905 | Date 03/08/2021 |
| Token No | SM/21-22/3719 03/08/2021 | Serial | 015 Last Visit: 03/08/2021 |
| Patient Name | Mrs. FULSARINA KHATUN | Contact No | 933008231 |
| Address | SAMASTIPUR | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||