Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 07691 | Date 02/03/2020 |
| Token No | SM/19-20/19010 02/03/2020 | Serial | 047 Last Visit: 07/03/2020 |
| Patient Name | Mrs. BEGAM SAHANAJ | Contact No | 7044147820 |
| Address | 28 LIBRARY LANE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||