Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10264 | Date 08/11/2021 |
| Token No | SM/21-22/6616 08/11/2021 | Serial | 011 Last Visit: 19/11/2024 |
| Patient Name | Mrs. SHABARI DAS | Contact No | |
| Address | GANGADHARPUR | Age | 41 Years,10 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||