Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00659 | Date 23/08/2018 |
| Token No | SM/18-19/799 23/08/2018 | Serial | 048 Last Visit: 23/08/2018 |
| Patient Name | Mrs. SADHANA PATUA | Contact No | 9230285028 |
| Address | 61, MUKHERJEE PARA LANE | Age | 9.4 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||