Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10471 | Date 29/12/2021 |
| Token No | SM/21-22/9573 03/02/2022 | Serial | 020 Last Visit: 01/12/2022 |
| Patient Name | Mrs. PARUL MAJHI | Contact No | 9883207555 |
| Address | 19/A DR. BAGAN LANE | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||