Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10311 | Date 22/11/2021 |
| Token No | SM/21-22/6965 22/11/2021 | Serial | 005 Last Visit: 22/11/2021 |
| Patient Name | Mrs. SOBHA HASYABI | Contact No | |
| Address | PALARAH,BIGHATI, | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||