Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06212 | Date 24/08/2019 |
| Token No | SM/19-20/9036 24/08/2019 | Serial | 013 Last Visit: 24/08/2019 |
| Patient Name | Mrs. PARUL PAKIRA | Contact No | 9073367028 |
| Address | PAHALAMPUR , PAHALAMPUR, DIARA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||