Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00723 | Date 27/08/2018 |
| Token No | SM/18-19/894 27/08/2018 | Serial | 027 Last Visit: 27/08/2018 |
| Patient Name | Mrs. RINKU MAHTA | Contact No | 9874440617 |
| Address | 416 ARBINDA PARK | Age | 30.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 97/67 mmHg | Weight | 41 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||