Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02788 | Date 02/01/2019 |
| Token No | SM/18-19/6142 02/01/2019 | Serial | 051 Last Visit: 02/01/2019 |
| Patient Name | Mrs. RINA UPADHYAY | Contact No | 8646860323 |
| Address | RISHRA | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||