Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01253 | Date 20/09/2018 |
| Token No | SM/18-19/1886 20/09/2018 | Serial | 037 Last Visit: 20/09/2018 |
| Patient Name | Mr. ANIL SHARMA | Contact No | |
| Address | RISHRA | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 135/75 mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||