Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11522 | Date 02/09/2022 |
| Token No | SM/22-23/16296 02/09/2022 | Serial | 064 Last Visit: 01/06/2023 |
| Patient Name | Other PARK HOUSE SUSWASTHYAKENDRA | Contact No | 9903246198 |
| Address | M.G. ROAD | Age | 18 Other |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||