Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10277 | Date 15/11/2021 |
| Token No | SM/21-22/9897 15/02/2022 | Serial | 028 Last Visit: 15/02/2022 |
| Patient Name | Mrs. PRIYANKA SINGH | Contact No | 9123903714 |
| Address | 15/G/1 DOCTOR BAGAN LANE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||