Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07032 | Date 30/11/2019 |
| Token No | SM/19-20/14406 30/11/2019 | Serial | 080 Last Visit: 30/11/2019 |
| Patient Name | Mr. CHINTU SINGH | Contact No | |
| Address | GANDHI SARAK , RISHRA | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||