Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08501 | Date 07/07/2020 |
| Token No | SM/20-21/28712 23/12/2020 | Serial | 009 Last Visit: 23/12/2020 |
| Patient Name | Mrs. RIJIYA BEGAM | Contact No | 7044921621 |
| Address | 33 MUSALMAN PARA LANE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||