Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10560 | Date 14/01/2022 |
| Token No | SM/21-22/9416 28/01/2022 | Serial | 033 Last Visit: 28/01/2022 |
| Patient Name | Mrs. BILU RAJBANSHI | Contact No | 8420795565 |
| Address | KUNTIGHAT | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||