Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10367 | Date 01/12/2021 |
| Token No | SM/21-22/7364 01/12/2021 | Serial | 013 Last Visit: 01/12/2021 |
| Patient Name | Miss RUPA DAS | Contact No | 9330742622 |
| Address | 5 RADHACHARAN MASTER LANE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||