Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11688 | Date 18/11/2022 |
| Token No | SM/22-23/18055 18/11/2022 | Serial | 026 Last Visit: 18/11/2022 |
| Patient Name | Mrs. JYOTSNA BIBI | Contact No | 7044744302 |
| Address | 19 NO MUSALMAN PARA BYE LANE | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||