Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10448 | Date 23/12/2021 |
| Token No | SM/21-22/8025 23/12/2021 | Serial | 006 Last Visit: 23/12/2021 |
| Patient Name | Mrs. PARMINA BEGUM | Contact No | 9143600478 |
| Address | BARABELU BELUMILKI | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | 142.5 cm BMI: 18.713450 |
| Diagnosis | |||