Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07218 | Date 23/12/2019 |
| Token No | SM/24-25/40512 10/12/2024 | Serial | 026 Last Visit: 04/06/2025 |
| Patient Name | Mrs. NABINA DEVI | Contact No | 7003856876 |
| Address | 14 K.C SEN ROAD RISHRA | Age | 52 Years,5 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||