Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12198 | Date 04/07/2023 |
| Token No | SM/22-23/22581 04/07/2023 | Serial | 025 Last Visit: 04/07/2023 |
| Patient Name | Mrs. SONIYA SINGH | Contact No | 8476646546 |
| Address | MORPUKUR RISHRA | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||