Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04654 | Date 09/04/2019 |
| Token No | SM/19-20/981 16/04/2019 | Serial | 097 Last Visit: 04/06/2019 |
| Patient Name | Mrs. MAYA RAM | Contact No | 6291453020 |
| Address | 13 N . N. ROY STREET | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/100 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||