Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02917 | Date 09/01/2019 |
| Token No | SM/24-25/38925 02/11/2024 | Serial | 018 Last Visit: 02/11/2024 |
| Patient Name | Mrs. AMALA KAYAL | Contact No | |
| Address | 54 K K SARONI | Age | 41 Years,10 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||