Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00894 | Date 04/09/2018 |
| Token No | SM/18-19/1184 04/09/2018 | Serial | 020 Last Visit: 04/09/2018 |
| Patient Name | Mrs. BHAGBATI JASH | Contact No | 8017183116 |
| Address | 10 VIVAKANAND LANE | Age | 63.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 95/48 mmHg | Weight | 37 KG |
| Pulse Rate | 105 / min | Height | cm BMI: inf |
| Diagnosis | |||