Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00186 | Date 07/08/2018 |
| Token No | SM/22-23/15188 29/07/2022 | Serial | 033 Last Visit: 07/06/2024 |
| Patient Name | Mrs. HANUFA BIBI | Contact No | |
| Address | KUMORPARA, CHATRA | Age | 46 Years,5 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||