Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10382 | Date 04/12/2021 |
| Token No | SM/21-22/7461 04/12/2021 | Serial | 013 Last Visit: 04/12/2021 |
| Patient Name | Mrs. RUMA LAHA | Contact No | 8777791734 |
| Address | PAWNAN | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||