Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01161 | Date 15/09/2018 |
| Token No | SM/18-19/1703 15/09/2018 | Serial | 023 Last Visit: 15/09/2018 |
| Patient Name | Mr. J.K SHARMA | Contact No | 9830167450 |
| Address | RAY GHAT LANE | Age | 41.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||