Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06854 | Date 14/11/2019 |
| Token No | SM/19-20/13175 14/11/2019 | Serial | 002 Last Visit: 14/11/2019 |
| Patient Name | Mr. MD SAHANAWAZ | Contact No | 7278752662 |
| Address | 32 GANDHI SARAK , RISHRA | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||