Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00113 | Date 04/08/2018 |
| Token No | SM/19-20/21365 20/04/2020 | Serial | 040 Last Visit: 20/04/2020 |
| Patient Name | Mrs. SABITA DHUL | Contact No | 8282821726 |
| Address | 37, SHANI PARA | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||