Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 00805 | Date 29/08/2018 |
| Token No | SM/18-19/11510 29/03/2019 | Serial | 018 Last Visit: 23/07/2022 |
| Patient Name | Mr. RAJU SHAW | Contact No | 9088662914 |
| Address | K M SHA STREET | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||