Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11871 | Date 20/01/2023 |
| Token No | SM/22-23/19915 20/01/2023 | Serial | 038 Last Visit: 20/01/2023 |
| Patient Name | Miss RICHA DAS | Contact No | 9330674031 |
| Address | 7 DUTTA PARA LANE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||