Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09612 | Date 12/05/2021 |
| Token No | SM/21-22/5337 22/09/2021 | Serial | 013 Last Visit: 22/09/2021 |
| Patient Name | Mrs. APARNA DAS | Contact No | 8240113719 |
| Address | CHATRA , KUMAR PARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||