Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10608 | Date 27/01/2022 |
| Token No | SM/21-22/9777 10/02/2022 | Serial | 038 Last Visit: 10/02/2022 |
| Patient Name | Mrs. REKHA SUTRADHAR | Contact No | 9062270843 |
| Address | GHORAMARA | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||