Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 03651 | Date 18/02/2019 |
| Token No | SM/18-19/8900 18/02/2019 | Serial | 073 Last Visit: 18/09/2021 |
| Patient Name | Mr. KANHAIYA PASWAN | Contact No | 7003388692 |
| Address | 121 R.B. SARANI | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||