Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 090380 | Date 09/12/2020 |
| Token No | SM/22-23/17519 21/10/2022 | Serial | 028 Last Visit: 20/05/2023 |
| Patient Name | Mrs. ARCHANA JHA | Contact No | 7003856876 |
| Address | K C SEN ROAD MOREPUKUR RISHRA | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Chargable |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||