Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03522 | Date 12/02/2019 |
| Token No | SM/18-19/8506 12/02/2019 | Serial | 110 Last Visit: 12/02/2019 |
| Patient Name | Mr. VISHAL PANDEY | Contact No | 8646860323 |
| Address | RISHRA | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||