Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06612 | Date 14/10/2019 |
| Token No | SM/19-20/11611 14/10/2019 | Serial | 005 Last Visit: 14/10/2019 |
| Patient Name | Mrs. SAGUFTA PARWEEN | Contact No | 9681550139 |
| Address | 50 R B S ROAD ,CHABDANI | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||