Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01475 | Date 03/10/2018 |
| Token No | SM/18-19/2376 03/10/2018 | Serial | 031 Last Visit: 03/10/2018 |
| Patient Name | Mrs. REHANA BIBI | Contact No | 8231881761 |
| Address | BARO BELUR KAL TALA | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||