Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03589 | Date 15/02/2019 |
| Token No | SM/18-19/8725 15/02/2019 | Serial | 013 Last Visit: 15/02/2019 |
| Patient Name | Mr. UPENDRA SING | Contact No | 9883354970 |
| Address | RISHRA | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||