Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01520 | Date 05/10/2018 |
| Token No | SM/18-19/2489 05/10/2018 | Serial | 010 Last Visit: 21/05/2019 |
| Patient Name | Mr. AVISHEK PANDEY | Contact No | 9123635941 |
| Address | RISHRA | Age | 33 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||