Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02303 | Date 03/12/2018 |
| Token No | SM/18-19/4581 03/12/2018 | Serial | 047 Last Visit: 27/02/2019 |
| Patient Name | Mr. AKASH PANDEY | Contact No | 864686032 |
| Address | RISHRA | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||