Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09449 | Date 07/04/2021 |
| Token No | SM/21-22/270 07/04/2021 | Serial | 045 Last Visit: 07/04/2021 |
| Patient Name | Mrs. KISMA TARA BEGAM | Contact No | 8420677572 |
| Address | MOLLASIMLA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||