Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06249 | Date 28/08/2019 |
| Token No | SM/19-20/9414 29/08/2019 | Serial | 055 Last Visit: 29/08/2019 |
| Patient Name | Mrs. ASHAMA KHATOON | Contact No | 8478095229 |
| Address | CHHOTO BELU, MAHISHYAPARA BELUMILKI | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||