Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13081 | Date 04/01/2024 |
| Token No | SM/24-25/32165 06/05/2024 | Serial | 021 Last Visit: 06/05/2024 |
| Patient Name | Mrs. SHIPRA DAS | Contact No | |
| Address | CHATRA SHITOLA TOLA | Age | 26 Years,4 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||