Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12105 | Date 20/05/2023 |
| Token No | SM/22-23/21760 20/05/2023 | Serial | 016 Last Visit: 20/05/2023 |
| Patient Name | Mrs. NISHA THAKUR | Contact No | 6298136146 |
| Address | MORPUKUR RISHRA | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||