Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04314 | Date 20/03/2019 |
| Token No | SM/22-23/28380 24/01/2024 | Serial | 033 Last Visit: 24/01/2024 |
| Patient Name | Mrs. BABITA RAM SINGH | Contact No | 9051814503 |
| Address | 1 MUSALMAN PARA ROAD CHATUGANG, | Age | 33 Years,0 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||