Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01783 | Date 30/10/2018 |
| Token No | SM/18-19/7584 30/01/2019 | Serial | 014 Last Visit: 08/04/2019 |
| Patient Name | Mr. KARTTICK MALIK | Contact No | 9163555796 |
| Address | JHAKARI,BORA | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||