Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00100 | Date 03/08/2018 |
| Token No | SM/18-19/11049 23/03/2019 | Serial | 053 Last Visit: 11/12/2023 |
| Patient Name | Mrs. MAYA SHAW | Contact No | 8420869033 |
| Address | 10 , M.G ROAD | Age | 27 Years,11 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||