Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08643 | Date 17/08/2020 |
| Token No | SM/19-20/24927 17/08/2020 | Serial | 089 Last Visit: 17/08/2020 |
| Patient Name | Miss SHUKTANA KHATUN | Contact No | 9831179650 |
| Address | BARABELU,,BELUMILKI | Age | 7 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||