Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08260 | Date 15/05/2020 |
| Token No | SM/19-20/22282 15/05/2020 | Serial | 049 Last Visit: 15/05/2020 |
| Patient Name | Mrs. JUHI SINGH | Contact No | 8697430921 |
| Address | 5 PARSI LANE, SIL BAGAN | Age | 23 Y Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||