Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04582 | Date 05/04/2019 |
| Token No | SM/19-20/368 05/04/2019 | Serial | 074 Last Visit: 05/04/2019 |
| Patient Name | Mrs. TARJUN NESHA | Contact No | 9088531849 |
| Address | 17,BAZER BY LANE(TIN BAZER) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||