Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04731 | Date 17/04/2019 |
| Token No | SM/19-20/1019 17/04/2019 | Serial | 026 Last Visit: 17/04/2019 |
| Patient Name | Mr. NABO KUMAR MALIK | Contact No | 9903396755 |
| Address | PAHALAM PUR DIARA | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||