Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06341 | Date 06/09/2019 |
| Token No | SM/19-20/9850 06/09/2019 | Serial | 015 Last Visit: 19/09/2019 |
| Patient Name | Miss ASHIYA OMMEHANI | Contact No | 8100653066 |
| Address | GANDHI SARAK , RISHRA (M) | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||