Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00429 | Date 14/08/2018 |
| Token No | SM/18-19/478 14/08/2018 | Serial | 019 Last Visit: 23/08/2018 |
| Patient Name | Mrs. BABY JAISWAL | Contact No | 8918628859 |
| Address | 15A, BHADURI PARA | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 174/104 mmHg | Weight | 49 KG |
| Pulse Rate | 92 / min | Height | cm BMI: inf |
| Diagnosis | |||