Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06018 | Date 31/07/2019 |
| Token No | SM/19-20/7660 31/07/2019 | Serial | 016 Last Visit: 31/07/2019 |
| Patient Name | Mrs. MIRA YADAV | Contact No | |
| Address | RISHRA MORPUKUR | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||