Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10063 | Date 09/09/2021 |
| Token No | SM/21-22/4910 09/09/2021 | Serial | 008 Last Visit: 09/09/2021 |
| Patient Name | Mrs. KANDHEI BEHERA | Contact No | 9051536953 |
| Address | BAGER BAGAN TELI PARA CHATRA SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||