Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09533 | Date 23/04/2021 |
| Token No | SM/21-22/9428 28/01/2022 | Serial | 045 Last Visit: 28/01/2022 |
| Patient Name | Mrs. NISHA JAISWARA | Contact No | 6291609224 |
| Address | 145 SHYAMNAGAR | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 17.224804 |
| Diagnosis | |||