Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01903 | Date 05/11/2018 |
| Token No | SM/18-19/4582 03/12/2018 | Serial | 048 Last Visit: 03/12/2018 |
| Patient Name | Mrs. KHODEJA BIBI | Contact No | 9681676408 |
| Address | 48 N N ROY STREET | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||