Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11709 | Date 24/11/2022 |
| Token No | SM/22-23/18232 24/11/2022 | Serial | 041 Last Visit: 24/11/2022 |
| Patient Name | Miss PRIYANKA SETH | Contact No | 9330495348 |
| Address | 1 G T ROAD CHAMPDANI , BHADRESHWAR | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||