Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10857 | Date 31/03/2022 |
| Token No | SM/22-23/11706 13/04/2022 | Serial | 021 Last Visit: 13/04/2022 |
| Patient Name | Mrs. ARATI PAUL | Contact No | 6289075660 |
| Address | 13/A KUMOR PARA LANE | Age | 61 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||