Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10515 | Date 06/01/2022 |
| Token No | SM/21-22/8579 06/01/2022 | Serial | 030 Last Visit: 06/01/2022 |
| Patient Name | Miss SRUTI BELEL | Contact No | 7278824462 |
| Address | 117/57 SATCHASI PARA SERAMPORE | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 132 cm BMI: 24.678604 |
| Diagnosis | |||