Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09188 | Date 19/01/2021 |
| Token No | SM/22-23/18177 23/11/2022 | Serial | 024 Last Visit: 23/11/2022 |
| Patient Name | Mrs. ASHA OJHA | Contact No | 9883119984 |
| Address | 40 GOALA PARA LANE BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||