Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02639 | Date 21/12/2018 |
| Token No | SM/19-20/25516 08/09/2020 | Serial | 030 Last Visit: 05/02/2025 |
| Patient Name | Mrs. MINUYA BEGAM | Contact No | 8420739777 |
| Address | 28 MUSALMAN PARA LANE,TIKIYA PARA | Age | 39 Years,1 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||