Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05537 | Date 24/06/2019 |
| Token No | SM/19-20/5169 24/06/2019 | Serial | 035 Last Visit: 24/06/2019 |
| Patient Name | Mrs. ARIFA BIBI | Contact No | 9123847623 |
| Address | BENITI,RAJJODHAR PUR | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||