Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02826 | Date 04/01/2019 |
| Token No | SM/18-19/6272 04/01/2019 | Serial | 057 Last Visit: 04/01/2019 |
| Patient Name | Miss PINKI DEY | Contact No | 9051931775 |
| Address | BEGAM PUR | Age | 15 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||