Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04302 | Date 19/03/2019 |
| Token No | SM/18-19/10872 19/03/2019 | Serial | 065 Last Visit: 21/02/2023 |
| Patient Name | Mr. SUDHIR RAM SINGH | Contact No | 9831758618 |
| Address | 1 CHATRA MUSALMAN PRA LANE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||