Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10388 | Date 06/12/2021 |
| Token No | SM/21-22/7485 06/12/2021 | Serial | 004 Last Visit: 06/12/2021 |
| Patient Name | Mrs. RABRI NESKAR | Contact No | |
| Address | RISHRA, | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||