Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09888 | Date 28/07/2021 |
| Token No | SM/24-25/39611 19/11/2024 | Serial | 037 Last Visit: 19/11/2024 |
| Patient Name | Mrs. RAMPARI SHAH | Contact No | |
| Address | 151 NEW MAHESH SERAMPORE | Age | 51 Years,10 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||