Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10575 | Date 18/01/2022 |
| Token No | SM/21-22/9504 01/02/2022 | Serial | 009 Last Visit: 13/10/2025 |
| Patient Name | Mrs. CHHAYA KOLE | Contact No | 9382502661 |
| Address | PAHALAMPORE KOLE PARA | Age | 59 Years,9 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||