Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11952 | Date 03/03/2023 |
| Token No | SM/22-23/20389 03/03/2023 | Serial | 010 Last Visit: 03/03/2023 |
| Patient Name | Mrs. SANCHITA JHA | Contact No | 9123889228 |
| Address | GOSWAMI STREET, CHANIR APPARTMENT | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||