Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06027 | Date 01/08/2019 |
| Token No | SM/19-20/11841 16/10/2019 | Serial | 059 Last Visit: 15/02/2020 |
| Patient Name | Mrs. SEEMA PANDEY | Contact No | 6393089265 |
| Address | 53/A SASTI TALA STREET , RISHRA | Age | 21 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||