Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00332 | Date 10/08/2018 |
| Token No | SM/18-19/5062 11/12/2018 | Serial | 042 Last Visit: 25/08/2020 |
| Patient Name | Mrs. RAHANA BIBI | Contact No | |
| Address | CHATRA M.P | Age | 45.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||