Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09335 | Date 17/03/2021 |
| Token No | SM/20-21/30826 17/03/2021 | Serial | 005 Last Visit: 17/03/2021 |
| Patient Name | Mrs. MANOARYA BIBI | Contact No | 9804787104 |
| Address | 10 MUSALMAN PARA(TIKIYA PARA) | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||