Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12737 | Date 16/11/2023 |
| Token No | SM/22-23/28379 24/01/2024 | Serial | 032 Last Visit: 24/01/2024 |
| Patient Name | Miss DEEPA RAM SINGH | Contact No | 9330769437 |
| Address | 1 MUSALMAN PARA ROAD | Age | 16 Years,4 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||