Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10470 | Date 29/12/2021 |
| Token No | SM/21-22/8234 29/12/2021 | Serial | 017 Last Visit: 03/01/2022 |
| Patient Name | Mrs. NILIMA CHOURASIA | Contact No | 7439358642 |
| Address | GUMODANGA,RISHRA | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 23.854229 |
| Diagnosis | |||