Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 02491 | Date 12/12/2018 |
| Token No | SM/19-20/11485 01/10/2019 | Serial | 103 Last Visit: 19/11/2025 |
| Patient Name | Mrs. LILA KUMAR | Contact No | 9007653367 |
| Address | 16 KUMAR PATTI LANE | Age | 60 Years,10 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||