Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02017 | Date 16/11/2018 |
| Token No | SM/19-20/22499 27/05/2020 | Serial | 041 Last Visit: 26/04/2025 |
| Patient Name | Mrs. ARATI KHAN | Contact No | 6290590443 |
| Address | JHAKARI | Age | 72 Years,3 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||