Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08209 | Date 04/05/2020 |
| Token No | SM/19-20/21889 04/05/2020 | Serial | 033 Last Visit: 04/05/2020 |
| Patient Name | Mrs. LAJINA BIBI | Contact No | 9007653214 |
| Address | 94/D MIAJAN DARJEE LANE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||