Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13144 | Date 24/01/2024 |
| Token No | SM/22-23/28382 24/01/2024 | Serial | 035 Last Visit: 24/01/2024 |
| Patient Name | Mrs. RIMPA NAYEK | Contact No | |
| Address | TELIBAGAN, BAIDYABATI, | Age | 30 Years,0 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||