Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03658 | Date 18/02/2019 |
| Token No | SM/18-19/8911 18/02/2019 | Serial | 084 Last Visit: 18/02/2019 |
| Patient Name | Mr. UPENDRA THAKUR | Contact No | |
| Address | SHEWRAPHULI | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||