Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08095 | Date 16/04/2020 |
| Token No | SM/24-25/38775 29/10/2024 | Serial | 003 Last Visit: 08/11/2024 |
| Patient Name | Miss JASHMEENA KHATOON | Contact No | 9143655009 |
| Address | 21 KANAI DEWAN TALA, | Age | 15 Years,0 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||