Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08043 | Date 08/04/2020 |
| Token No | SM/19-20/20899 08/04/2020 | Serial | 023 Last Visit: 08/04/2020 |
| Patient Name | Mrs. MGALI | Contact No | 7890498107 |
| Address | 18 MUSALMAN PARA BYE LANE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||