Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11809 | Date 27/12/2022 |
| Token No | SM/22-23/19252 27/12/2022 | Serial | 027 Last Visit: 31/07/2023 |
| Patient Name | Mrs. HEENA KHATOON | Contact No | 7059753325 |
| Address | 38 S K NAGAR RISHRA PRAVASNAGAR | Age | 25 Years,3 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||