Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07969 | Date 30/03/2020 |
| Token No | SM/19-20/20507 30/03/2020 | Serial | 058 Last Visit: 26/06/2020 |
| Patient Name | Mrs. ROBINA BIBI | Contact No | 9163750481 |
| Address | 22 NO CHATRA KUMAR PARA LANE | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||