Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08143 | Date 24/04/2020 |
| Token No | SM/19-20/21523 24/04/2020 | Serial | 015 Last Visit: 24/04/2020 |
| Patient Name | Mrs. MANJUDA BIBI | Contact No | 7595930491 |
| Address | 12 CHATRA MUSALMANPARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||