Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11859 | Date 16/01/2023 |
| Token No | SM/22-23/19759 16/01/2023 | Serial | 027 Last Visit: 16/01/2023 |
| Patient Name | Mrs. RAKHI BARIK | Contact No | 9748095984 |
| Address | CHOTU BELU CHECK POST | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||