Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01362 | Date 26/09/2018 |
| Token No | SM/18-19/9042 19/02/2019 | Serial | 072 Last Visit: 19/02/2019 |
| Patient Name | Mrs. ANITA PANDEY | Contact No | 8646860323 |
| Address | RISHRA | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||