Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08198 | Date 02/05/2020 |
| Token No | SM/19-20/21845 02/05/2020 | Serial | 027 Last Visit: 02/05/2020 |
| Patient Name | Mrs. CHANDRA ADHIKARI | Contact No | 9681537740 |
| Address | 21 KUMIRJALA ROAD | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||