Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07739 | Date 11/03/2020 |
| Token No | SM/19-20/19343 11/03/2020 | Serial | 006 Last Visit: 11/03/2020 |
| Patient Name | Mrs. AKHTARI KHATOON | Contact No | 9804787990 |
| Address | 31/A GANDHI SARAK , RISHRA(M) | Age | 33 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||