Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00945 | Date 06/09/2018 |
| Token No | SM/18-19/1288 06/09/2018 | Serial | 013 Last Visit: 06/09/2018 |
| Patient Name | Mrs. KAMLA SHAW | Contact No | |
| Address | NEW MAHESH | Age | 65.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 105/65 mmHg | Weight | 38 KG |
| Pulse Rate | 76 / min | Height | cm BMI: inf |
| Diagnosis | |||