Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04180 | Date 12/03/2019 |
| Token No | SM/18-19/10413 12/03/2019 | Serial | 004 Last Visit: 12/03/2019 |
| Patient Name | Mr. BAKUL GIRI | Contact No | 9932637500 |
| Address | VILL: KUMARPUR, PO: JAHARPUR,S 24 PGS | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||