Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09233 | Date 01/02/2021 |
| Token No | SM/20-21/29941 01/02/2021 | Serial | 005 Last Visit: 01/02/2021 |
| Patient Name | Miss PUNAM SINGH | Contact No | 9748750664 |
| Address | 2 BARAL BAGAN LANE | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||