Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02536 | Date 14/12/2018 |
| Token No | SM/18-19/5823 27/12/2018 | Serial | 081 Last Visit: 22/10/2019 |
| Patient Name | Mrs. REKHA PASWAN | Contact No | 8697358515 |
| Address | 260/C J T ROAD,MORADAN | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||