Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02122 | Date 26/11/2018 |
| Token No | SM/18-19/4634 04/12/2018 | Serial | 020 Last Visit: 04/12/2018 |
| Patient Name | Mrs. NEELA MAJHI | Contact No | 7450863686 |
| Address | GODAR BAGAN /LANE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||