Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05811 | Date 17/07/2019 |
| Token No | SM/22-23/28442 27/01/2024 | Serial | 035 Last Visit: 27/01/2024 |
| Patient Name | Mrs. MIRA DEVI | Contact No | 9784200991 |
| Address | CHATRA DHARMA TALA, | Age | 31 Years,0 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||