Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07581 | Date 19/02/2020 |
| Token No | SM/19-20/18362 19/02/2020 | Serial | 023 Last Visit: 19/02/2020 |
| Patient Name | Mrs. BABITA RAM SING | Contact No | |
| Address | 1 MUSALMAN PARA ROAD | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||