Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11431 | Date 13/08/2022 |
| Token No | SM/22-23/15692 13/08/2022 | Serial | 021 Last Visit: 13/08/2022 |
| Patient Name | Miss RIYA PRODHAN | Contact No | 8013883212 |
| Address | SARDAR PARA CHOTOBELUR BELUMILKI | Age | 15 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||