Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12364 | Date 24/08/2023 |
| Token No | SM/22-23/23871 24/08/2023 | Serial | 047 Last Visit: 24/08/2023 |
| Patient Name | Mrs. ANITA JAISWAL | Contact No | 8246646465 |
| Address | LB S ROAD TIN BAJAR | Age | 26 Years,2 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||