Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03548 | Date 13/02/2019 |
| Token No | SM/18-19/10531 15/03/2019 | Serial | 024 Last Visit: 07/02/2020 |
| Patient Name | Miss ESIKA GHUGHU | Contact No | 8240289736 |
| Address | SEORAPHULY,PIYARA PUR | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||