Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10265 | Date 08/11/2021 |
| Token No | SM/21-22/6617 08/11/2021 | Serial | 012 Last Visit: 08/11/2021 |
| Patient Name | Mrs. KUBJA DAS | Contact No | 9163216868 |
| Address | GANGADHARPUR | Age | 65 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||