Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11069 | Date 28/05/2022 |
| Token No | SM/22-23/13005 28/05/2022 | Serial | 024 Last Visit: 28/05/2022 |
| Patient Name | Mrs. REBOTI PRAMANIK | Contact No | 9647662186 |
| Address | VILL+POST=DAHARKUNDU | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||