Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03553 | Date 13/02/2019 |
| Token No | SM/18-19/8595 13/02/2019 | Serial | 062 Last Visit: 13/02/2019 |
| Patient Name | Miss BRISHTI PASWAN | Contact No | 6291821831 |
| Address | 13 N N ROY STREET | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||