Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10548 | Date 11/01/2022 |
| Token No | SM/21-22/8852 11/01/2022 | Serial | 043 Last Visit: 11/01/2022 |
| Patient Name | Mrs. SHUKLA MALIK | Contact No | 9748749797 |
| Address | 27,BARO BAGAN LANE | Age | 36 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 22.826881 |
| Diagnosis | |||