Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 16024 | Date 10/09/2025 |
| Token No | SM/25-26/5929 10/09/2025 | Serial | 010 Last Visit: 10/09/2025 |
| Patient Name | Mrs. UMA DAS | Contact No | |
| Address | SERA,MPORE | Age | 23 Years,5 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||