Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06597 | Date 05/10/2019 |
| Token No | SM/19-20/11513 05/10/2019 | Serial | 003 Last Visit: 05/10/2019 |
| Patient Name | Mr. PRADIP KR SINGH | Contact No | |
| Address | MG ROAD , RISHRA | Age | 45 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||