Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00715 | Date 27/08/2018 |
| Token No | SM/18-19/884 27/08/2018 | Serial | 017 Last Visit: 27/08/2018 |
| Patient Name | Mrs. SHAYAMOLI SINGH | Contact No | |
| Address | SHEORAPHULI CHATU GHANGU | Age | 45.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 147/81 mmHg | Weight | 49 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||