Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02856 | Date 07/01/2019 |
| Token No | SM/18-19/6377 07/01/2019 | Serial | 031 Last Visit: 07/01/2019 |
| Patient Name | Mr. AKHILESH YADAV | Contact No | 8850474576 |
| Address | 26 P.N MUKHERJEE STREET | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||