Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00607 | Date 21/08/2018 |
| Token No | SM/18-19/723 21/08/2018 | Serial | 021 Last Visit: 21/08/2018 |
| Patient Name | Mr. BAIJNATH MAHTA | Contact No | 7699869788 |
| Address | 23, SIDESWARI TALA , CHATRA | Age | 40.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 196/77 mmHg | Weight | 46.5 KG |
| Pulse Rate | 86 / min | Height | cm BMI: inf |
| Diagnosis | |||