Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12330 | Date 11/08/2023 |
| Token No | SM/22-23/23529 11/08/2023 | Serial | 037 Last Visit: 11/08/2023 |
| Patient Name | Mrs. MANOYARA BIBI | Contact No | 9083334539 |
| Address | 20 CHATRA KANHAI DEWAN TALA LANE | Age | 38 Years,2 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||