Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01768 | Date 30/10/2018 |
| Token No | SM/18-19/3138 30/10/2018 | Serial | 009 Last Visit: 30/10/2018 |
| Patient Name | Mr. HIRALAL THAKUR | Contact No | 8420535426 |
| Address | 23, CHATRA SIDESWARI TALA | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 54 KG |
| Pulse Rate | 88 / min | Height | cm BMI: inf |
| Diagnosis | |||