Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10104 | Date 21/09/2021 |
| Token No | SM/24-25/38932 02/11/2024 | Serial | 025 Last Visit: 02/11/2024 |
| Patient Name | Mrs. JAYANTI KOLEY | Contact No | 7585862956 |
| Address | MASAT,CHANDITALA, | Age | 51 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||