Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00229 | Date 08/08/2018 |
| Token No | SM/22-23/23870 24/08/2023 | Serial | 046 Last Visit: 24/08/2023 |
| Patient Name | Mrs. HASMULA BIBI | Contact No | |
| Address | AUROBINDO SARANI | Age | 60 Years,7 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||