Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02894 | Date 08/01/2019 |
| Token No | SM/18-19/6477 08/01/2019 | Serial | 031 Last Visit: 08/01/2019 |
| Patient Name | Miss NEHA PARVIN | Contact No | 9062376411 |
| Address | 25 TIKIYA PARA, | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||