Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06860 | Date 14/11/2019 |
| Token No | SM/19-20/13221 14/11/2019 | Serial | 048 Last Visit: 14/11/2019 |
| Patient Name | Mr. BISWANATH PAKIRA | Contact No | 9088305570 |
| Address | CHANDITALA ROAD , BELUMILKI | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||