Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11876 | Date 21/01/2023 |
| Token No | SM/22-23/19950 21/01/2023 | Serial | 035 Last Visit: 21/01/2023 |
| Patient Name | Mrs. BASANTI DAS | Contact No | 9330777141 |
| Address | 133 CHATRA,BARI PARA, | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||