Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13996 | Date 06/07/2024 |
| Token No | SM/24-25/34530 06/07/2024 | Serial | 023 Last Visit: 06/07/2024 |
| Patient Name | Mrs. NIPA DEY | Contact No | |
| Address | Age | 24 Years,6 Months,4 Days Female | |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||