Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09993 | Date 26/08/2021 |
| Token No | SM/21-22/4447 26/08/2021 | Serial | 031 Last Visit: 01/08/2022 |
| Patient Name | Mrs. BARSAT BEGAM | Contact No | 9874158416 |
| Address | CHANDITALA | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||