Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06103 | Date 10/08/2019 |
| Token No | SM/24-25/33198 03/06/2024 | Serial | 045 Last Visit: 03/06/2024 |
| Patient Name | Mrs. BISHNUPRIYA DAS | Contact No | |
| Address | CHATRA | Age | 71 Years,5 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||