Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10887 | Date 06/04/2022 |
| Token No | SM/22-23/11704 13/04/2022 | Serial | 019 Last Visit: 13/04/2022 |
| Patient Name | Mrs. SUJATA MAJHI | Contact No | 9007147960 |
| Address | 51C/4 A,BORO BAGAN LANE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||