Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11560 | Date 12/09/2022 |
| Token No | SM/22-23/16628 12/09/2022 | Serial | 025 Last Visit: 12/09/2022 |
| Patient Name | Mrs. SAKILA BIBI | Contact No | |
| Address | GOURANGAPUR BIGHATI | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||