Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11204 | Date 28/06/2022 |
| Token No | SM/22-23/14095 28/06/2022 | Serial | 017 Last Visit: 12/07/2022 |
| Patient Name | Mrs. UMA MAJHI | Contact No | |
| Address | 59 BARABAGAN LANE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 28.037920 |
| Diagnosis | |||