Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01641 | Date 12/10/2018 |
| Token No | SM/18-19/2802 12/10/2018 | Serial | 009 Last Visit: 10/12/2018 |
| Patient Name | Mr. MILAN BHALLA | Contact No | 8961467723 |
| Address | CHATRA TETUL TALA | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||