Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06755 | Date 24/10/2019 |
| Token No | SM/19-20/12370 24/10/2019 | Serial | 045 Last Visit: 09/11/2019 |
| Patient Name | Miss PUJA KARAR | Contact No | 9748948694 |
| Address | 49,DUTTA PARA LANE, | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||