Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09466 | Date 13/04/2021 |
| Token No | SM/21-22/450 13/04/2021 | Serial | 028 Last Visit: 13/04/2021 |
| Patient Name | Mrs. JYOTI BHAGAT | Contact No | 7003942378 |
| Address | 834 S K NAGAR NAYA BASTI, RISHRA | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||