Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10301 | Date 17/11/2021 |
| Token No | SM/21-22/6911 17/11/2021 | Serial | 038 Last Visit: 17/11/2021 |
| Patient Name | Mrs. AJMERI KHANAM | Contact No | 7003761234 |
| Address | 15 P J M LINE BAGHKHAL, RISHRA | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||