Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00716 | Date 27/08/2018 |
| Token No | SM/18-19/885 27/08/2018 | Serial | 018 Last Visit: 27/08/2018 |
| Patient Name | Mrs. SANDHA SINGH | Contact No | |
| Address | SHEORAPHOLI,CHATUGHONGE | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 165/73 mmHg | Weight | KG |
| Pulse Rate | 85 / min | Height | cm BMI: nan |
| Diagnosis | |||