Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00156 | Date 06/08/2018 |
| Token No | SM/24-25/35354 26/07/2024 | Serial | 030 Last Visit: 26/07/2024 |
| Patient Name | Mrs. MOIROM KHATOON | Contact No | |
| Address | 8/A, MUSLMAN PARA,CHATRA | Age | 33 Years,6 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||