Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10334 | Date 24/11/2021 |
| Token No | SM/21-22/7132 24/11/2021 | Serial | 049 Last Visit: 17/09/2024 |
| Patient Name | Mrs. KAMOLA RAY | Contact No | 7074373769 |
| Address | PANDUA | Age | 41 Years,8 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||