Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01790 | Date 30/10/2018 |
| Token No | SM/20-21/30549 09/03/2021 | Serial | 024 Last Visit: 15/03/2021 |
| Patient Name | Mrs. ASHA BIBI | Contact No | 9143327399 |
| Address | CHAREA MUSALMAN PARA | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||