Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11501 | Date 29/08/2022 |
| Token No | SM/22-23/16956 20/09/2022 | Serial | 050 Last Visit: 20/09/2022 |
| Patient Name | Mrs. PREMLATA AGARWAL | Contact No | 8420138611 |
| Address | 23 K. M. SHA STREET | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 22.005966 |
| Diagnosis | |||