Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01628 | Date 11/10/2018 |
| Token No | SM/18-19/2776 11/10/2018 | Serial | 039 Last Visit: 03/09/2020 |
| Patient Name | Mr. MD KOCHI | Contact No | 7449644382 |
| Address | 56 N N ROY STREET | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||