Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06340 | Date 06/09/2019 |
| Token No | SM/19-20/10623 19/09/2019 | Serial | 005 Last Visit: 05/11/2019 |
| Patient Name | Mrs. RUKSHAR KHATOON | Contact No | 9903207278 |
| Address | 32 GANDHI SARAK RISHRA(M) | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||