Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01986 | Date 15/11/2018 |
| Token No | SM/21-22/4468 27/08/2021 | Serial | 003 Last Visit: 10/11/2022 |
| Patient Name | Mrs. PIYALI MAJHI | Contact No | 6297970188 |
| Address | 12 ROY GHAT LANE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||