Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00346 | Date 11/08/2018 |
| Token No | SM/18-19/373 11/08/2018 | Serial | 005 Last Visit: 18/08/2018 |
| Patient Name | Mrs. MENOKA DHARA | Contact No | 9836871191 |
| Address | 6, SHANI PARA LANE | Age | 72.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||