Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05328 | Date 03/06/2019 |
| Token No | SM/19-20/3937 03/06/2019 | Serial | 060 Last Visit: 18/06/2019 |
| Patient Name | Mrs. RUKAIYA BEGAM | Contact No | 8837509819 |
| Address | RAMCHANDRA PUR, DIARA | Age | 23 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 120/96 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||