Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07346 | Date 16/01/2020 |
| Token No | SM/19-20/16736 16/01/2020 | Serial | 015 Last Visit: 16/01/2020 |
| Patient Name | Mrs. ASHA RUIDAS | Contact No | 9330374084 |
| Address | KANAIPUR,JAGALGORI, | Age | 60 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 168/110 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||