Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00621 | Date 21/08/2018 |
| Token No | SM/18-19/1161 01/09/2018 | Serial | 035 Last Visit: 01/09/2018 |
| Patient Name | Mrs. RINKU SHAW | Contact No | 9088540222 |
| Address | 10, M.G ROAD | Age | 27.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||