Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02739 | Date 29/12/2018 |
| Token No | SM/18-19/6143 02/01/2019 | Serial | 052 Last Visit: 25/01/2019 |
| Patient Name | Mrs. GOURI PASWAN | Contact No | 8017189758 |
| Address | 13 N.N RAY STREET | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||