Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 07577 | Date 18/02/2020 |
| Token No | SM/19-20/19245 06/03/2020 | Serial | 070 Last Visit: 06/03/2020 |
| Patient Name | Mrs. AMANA BEGAM | Contact No | 8481828870 |
| Address | 61/A, R K ROAD , RISHRA | Age | 72 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||