Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08155 | Date 27/04/2020 |
| Token No | SM/19-20/21597 27/04/2020 | Serial | 024 Last Visit: 27/04/2020 |
| Patient Name | Mrs. GAYATRI PANDEY | Contact No | 9830637670 |
| Address | 3 RABINDRA BHABAN ROAD | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||