Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08211 | Date 04/05/2020 |
| Token No | SM/19-20/21903 04/05/2020 | Serial | 047 Last Visit: 05/05/2020 |
| Patient Name | Mrs. ASHIYA BANO | Contact No | 8882221654 |
| Address | 23 PARSI LANE,SHILBAGAN | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||