Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05828 | Date 18/07/2019 |
| Token No | SM/19-20/6798 18/07/2019 | Serial | 073 Last Visit: 18/07/2019 |
| Patient Name | Mrs. SAHANAZ PARVEEN | Contact No | 9875333375 |
| Address | 37/4/1/1 R K ROAD,RIASHRA. | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||