Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02862 | Date 07/01/2019 |
| Token No | SM/18-19/6387 07/01/2019 | Serial | 041 Last Visit: 15/03/2021 |
| Patient Name | Mr. SK RAJU | Contact No | 7890277803 |
| Address | 15/A KANAI DEWAN TALA,SHEORAPHULY | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||