Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01676 | Date 26/10/2018 |
| Token No | SM/18-19/2898 26/10/2018 | Serial | 012 Last Visit: 26/10/2018 |
| Patient Name | Mrs. SUDHA SINGH | Contact No | |
| Address | 5, TALPUKUR | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||