Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07319 | Date 11/01/2020 |
| Token No | SM/19-20/16547 11/01/2020 | Serial | 007 Last Visit: 11/01/2020 |
| Patient Name | Miss RIYA DAS | Contact No | 6289726181 |
| Address | CHHTABAHERA KANIPUR, BARABAHERA | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||