Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06391 | Date 12/09/2019 |
| Token No | SM/19-20/10267 12/09/2019 | Serial | 085 Last Visit: 24/09/2019 |
| Patient Name | Miss KUMARI ANTIMA THAKUR | Contact No | 8400323266 |
| Address | CHAPRA , DUBE CHHAP, BALLIA , UTAR PARDESH-277205 | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||