Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01021 | Date 10/09/2018 |
| Token No | SM/18-19/1449 10/09/2018 | Serial | 037 Last Visit: 10/09/2018 |
| Patient Name | Mr. JAGDISH RAJBHAR | Contact No | 8961338440 |
| Address | 3 BAZAR BY LANE | Age | 25.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 141/101 mmHg | Weight | 59 KG |
| Pulse Rate | 89 / min | Height | cm BMI: inf |
| Diagnosis | |||