Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11881 | Date 21/01/2023 |
| Token No | SM/22-23/19964 21/01/2023 | Serial | 049 Last Visit: 21/01/2023 |
| Patient Name | Mrs. BANDANA AGARWAL | Contact No | 6291342256 |
| Address | 5 LAL BAHADUR SHASTRI ROAD | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 159.2 cm BMI: 0.000000 |
| Diagnosis | |||