Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02390 | Date 07/12/2018 |
| Token No | SM/18-19/4830 07/12/2018 | Serial | 024 Last Visit: 07/12/2018 |
| Patient Name | Mrs. BABITA PRASADH | Contact No | |
| Address | 37 B/2 MUSALMAN PARA LANE | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||