Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08022 | Date 06/04/2020 |
| Token No | SM/20-21/29956 01/02/2021 | Serial | 020 Last Visit: 15/07/2021 |
| Patient Name | Mrs. SUNITA SINGH | Contact No | 9831823808 |
| Address | 42/A BARA BAGAN LANE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||