Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02808 | Date 03/01/2019 |
| Token No | SM/18-19/6208 03/01/2019 | Serial | 045 Last Visit: 03/01/2019 |
| Patient Name | Miss NIKITA UPADHAYAY | Contact No | 8646860323 |
| Address | RISHRA | Age | 10 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||