Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01256 | Date 22/09/2018 |
| Token No | SM/19-20/21411 21/04/2020 | Serial | 023 Last Visit: 21/04/2020 |
| Patient Name | Mrs. PRATIMA MAJHI | Contact No | 9681858650 |
| Address | RAJJODHAR PUR | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||