Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06419 | Date 16/09/2019 |
| Token No | SM/19-20/10538 17/09/2019 | Serial | 029 Last Visit: 17/09/2019 |
| Patient Name | Mr. SHIV PRASAD TANTI | Contact No | 7059530042 |
| Address | 10/A JODHAN SINGH ROAD, RISHRA (M) | Age | 46 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||