Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00724 | Date 27/08/2018 |
| Token No | SM/18-19/895 27/08/2018 | Serial | 028 Last Visit: 27/08/2018 |
| Patient Name | Mr. RAJU MAHTA | Contact No | 9874440617 |
| Address | 416 ARBINDA PARK | Age | 37.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 105/71 mmHg | Weight | 49 KG |
| Pulse Rate | 76 / min | Height | cm BMI: inf |
| Diagnosis | |||