Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04117 | Date 09/03/2019 |
| Token No | SM/18-19/10246 09/03/2019 | Serial | 037 Last Visit: 29/04/2019 |
| Patient Name | Mr. SK TANU | Contact No | 7044338915 |
| Address | ARANGABADH MIRPARA | Age | 77 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||