Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13980 | Date 03/07/2024 |
| Token No | SM/24-25/34436 03/07/2024 | Serial | 044 Last Visit: 03/07/2024 |
| Patient Name | Mrs. GURIYA DEVI | Contact No | 9674421442 |
| Address | 15 -ECHATRA MUSALMAN PARA ROAD | Age | 24 Years,6 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||