Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01605 | Date 10/10/2018 |
| Token No | SM/18-19/2711 10/10/2018 | Serial | 036 Last Visit: 10/10/2018 |
| Patient Name | Mrs. RAJIYA BEAGAM | Contact No | |
| Address | CHATRA MUSALMAN PRA | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 115/77 mmHg | Weight | 65 KG |
| Pulse Rate | 93 / min | Height | cm BMI: inf |
| Diagnosis | |||