Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02254 | Date 01/12/2018 |
| Token No | SM/18-19/9226 22/02/2019 | Serial | 003 Last Visit: 22/02/2019 |
| Patient Name | Mr. KESTO MAJHI | Contact No | |
| Address | BARA HAWA KHANA | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||