Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11914 | Date 09/02/2023 |
| Token No | SM/22-23/20235 09/02/2023 | Serial | 002 Last Visit: 13/03/2023 |
| Patient Name | Mrs. JAYAPRADA BAGUDAI | Contact No | 7980272127 |
| Address | 85/D G.T. ROAD, | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 150.6 cm BMI: 0.000000 |
| Diagnosis | |||