Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09793 | Date 06/07/2021 |
| Token No | SM/21-22/2871 06/07/2021 | Serial | 001 Last Visit: 09/12/2021 |
| Patient Name | Mrs. RESMA KHATOON | Contact No | 8478982665 |
| Address | 36 MUSALMAN PARA LANE,9TIKIYA PARA LANE) | Age | 23 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||