Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02537 | Date 14/12/2018 |
| Token No | SM/18-19/5266 14/12/2018 | Serial | 055 Last Visit: 18/03/2019 |
| Patient Name | Mrs. PRIYA BHAR | Contact No | 8013208085 |
| Address | BENDEL | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||