Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08088 | Date 16/04/2020 |
| Token No | SM/19-20/21169 16/04/2020 | Serial | 011 Last Visit: 17/04/2020 |
| Patient Name | Mrs. INDIRA LAHIRII | Contact No | 9830717555 |
| Address | 23 LAHIRI PARA LANE | Age | 69 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||