Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03268 | Date 31/01/2019 |
| Token No | SM/18-19/7711 31/01/2019 | Serial | 085 Last Visit: 31/01/2019 |
| Patient Name | Mrs. MADINA BIBI | Contact No | |
| Address | 10 ROY GHAT LANE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||