Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15322 | Date 17/05/2025 |
| Token No | SM/25-26/1449 17/05/2025 | Serial | 055 Last Visit: 17/05/2025 |
| Patient Name | Mrs. SONIYA DAS | Contact No | 8482039226 |
| Address | BANDEL | Age | 29 Years,4 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||