Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11781 | Date 19/12/2022 |
| Token No | SM/22-23/19010 19/12/2022 | Serial | 024 Last Visit: 06/01/2024 |
| Patient Name | Mrs. SEGRA KHATUN | Contact No | 8777290548 |
| Address | 38 S K NAGAR NEAR STUDIO TASVEER, NAYA BASTI, RISHRA | Age | 62 Years,0 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||