Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02920 | Date 09/01/2019 |
| Token No | SM/18-19/6550 09/01/2019 | Serial | 039 Last Visit: 09/01/2019 |
| Patient Name | Miss SMITA MALIK | Contact No | 8777324876 |
| Address | 29F LIBRARY LANE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||