Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02331 | Date 04/12/2018 |
| Token No | SM/18-19/4652 04/12/2018 | Serial | 038 Last Visit: 04/12/2018 |
| Patient Name | Miss NEHA HARI | Contact No | 8443051032 |
| Address | 13 BHADURI PARA LANE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||