Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00212 | Date 07/08/2018 |
| Token No | SM/18-19/221 07/08/2018 | Serial | 036 Last Visit: 07/08/2018 |
| Patient Name | Mr. PAWAN KR SHAW | Contact No | 9748046181 |
| Address | SHEORAPHULY | Age | 34.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||