Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01909 | Date 05/11/2018 |
| Token No | SM/18-19/3498 05/11/2018 | Serial | 058 Last Visit: 05/11/2018 |
| Patient Name | Mr. MUKTI PANDEY | Contact No | 9073303752 |
| Address | RISHRA .10/A/1 R C B ROAD | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||