Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 00013 | Date 01/08/2018 |
| Token No | SM/25-26/1523 20/05/2025 | Serial | 003 Last Visit: 20/05/2025 |
| Patient Name | Mrs. MINA JAISWAL | Contact No | 9748688950 |
| Address | 15 KAPURIYA PATTI SERAMPORE(M) | Age | 40 Years,4 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||