Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 14062 | Date 22/07/2024 |
| Token No | SM/24-25/35114 22/07/2024 | Serial | 007 Last Visit: 07/10/2024 |
| Patient Name | Mrs. ANITA DEVI SHAW | Contact No | 7044256608 |
| Address | 15 NO LAL BAHADUR SASTRI ROAD | Age | 17 Years,9 Months,5 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 34.9 KG |
| Pulse Rate | / min | Height | 138.5 cm BMI: 18.193903 |
| Diagnosis | |||