Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11921 | Date 15/02/2023 |
| Token No | SM/22-23/20264 15/02/2023 | Serial | 001 Last Visit: 03/03/2025 |
| Patient Name | Mrs. RUPASI SINGH | Contact No | 8420998624 |
| Address | 28/1/2 BARABAGAN LANE | Age | 31 Years,9 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||