Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06000 | Date 29/07/2019 |
| Token No | SM/19-20/7548 29/07/2019 | Serial | 084 Last Visit: 05/08/2019 |
| Patient Name | Mrs. AYESHA BIBI | Contact No | 8420104775 |
| Address | CHATRA KUMAR PARA | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||