Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03264 | Date 31/01/2019 |
| Token No | SM/18-19/7697 31/01/2019 | Serial | 071 Last Visit: 31/01/2019 |
| Patient Name | Mrs. RENUKA MALIK | Contact No | 9239602716 |
| Address | 16 B B R AMBEDKER LANE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||