Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14803 | Date 13/01/2025 |
| Token No | SM/24-25/41663 13/01/2025 | Serial | 049 Last Visit: 13/01/2025 |
| Patient Name | Mrs. RUMA SIMLAI | Contact No | 9748993135 |
| Address | 166/A/1 THAKUR BATI STREET | Age | 57 Years,0 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||