Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03373 | Date 05/02/2019 |
| Token No | SM/18-19/8031 05/02/2019 | Serial | 022 Last Visit: 05/02/2019 |
| Patient Name | Mrs. ARATI RAM | Contact No | |
| Address | 10 MG ROAD | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||