Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06223 | Date 26/08/2019 |
| Token No | SM/19-20/10057 09/09/2019 | Serial | 061 Last Visit: 09/09/2019 |
| Patient Name | Mrs. BABITA MAJHI | Contact No | 9681858653 |
| Address | MADPUR, MALLICK PARA | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||