Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02888 | Date 07/01/2019 |
| Token No | SM/18-19/6445 07/01/2019 | Serial | 099 Last Visit: 07/01/2019 |
| Patient Name | Mr. SK SANJU | Contact No | 9932171926 |
| Address | BARDHMAN | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||