Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03691 | Date 19/02/2019 |
| Token No | SM/25-26/2338 10/06/2025 | Serial | 013 Last Visit: 10/06/2025 |
| Patient Name | Mrs. NITU SHAW | Contact No | 6291780698 |
| Address | RISHRA | Age | 23 Years,5 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||