Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10565 | Date 15/01/2022 |
| Token No | SM/21-22/8979 15/01/2022 | Serial | 024 Last Visit: 05/08/2022 |
| Patient Name | Mrs. RAMA HARITWAL | Contact No | 9062375163 |
| Address | 11,A,DOCTOR BAGAN LANE SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 16.215486 |
| Diagnosis | |||