Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01071 | Date 12/09/2018 |
| Token No | SM/18-19/2184 28/09/2018 | Serial | 013 Last Visit: 09/10/2018 |
| Patient Name | Mr. LALA RAJBHAR | Contact No | 9330888047 |
| Address | 27 TINBAZAR | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||