Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 02491 | Date 12/12/2018 |
| Token No | SM/21-22/5441 24/09/2021 | Serial | 036 Last Visit: 19/11/2025 |
| Patient Name | Mrs. LILA KUMAR | Contact No | 9007653367 |
| Address | 16 KUMAR PATTI LANE | Age | 60 Years,10 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||