Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10781 | Date 11/03/2022 |
| Token No | SM/21-22/10769 14/03/2022 | Serial | 028 Last Visit: 10/08/2022 |
| Patient Name | Mrs. PINKI DEVI | Contact No | 7439626216 |
| Address | 8 KANAI DEWAN TALA LANE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||