Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05621 | Date 29/06/2019 |
| Token No | SM/19-20/5587 29/06/2019 | Serial | 020 Last Visit: 29/06/2019 |
| Patient Name | Mrs. NEELAMBARA PRASAD | Contact No | 7980940927 |
| Address | TIRUMALA APARTMENT FLAT NO-503 10/1 R.B.C ROAD , RISHRA | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||