Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01327 | Date 25/09/2018 |
| Token No | SM/18-19/2050 25/09/2018 | Serial | 032 Last Visit: 25/09/2018 |
| Patient Name | Mrs. REHANA BIBI | Contact No | 8444979212 |
| Address | 7, AUROBINDO SARANI | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||