Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06426 | Date 16/09/2019 |
| Token No | SM/19-20/10466 16/09/2019 | Serial | 067 Last Visit: 16/09/2019 |
| Patient Name | Mr. RAJKUMAR PASWAN | Contact No | |
| Address | 38 ADDI LANE SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||