Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06274 | Date 30/08/2019 |
| Token No | SM/19-20/14500 02/12/2019 | Serial | 093 Last Visit: 03/07/2020 |
| Patient Name | Mr. HIDAY RAHAMAN | Contact No | 8017825878 |
| Address | BARABELU BELUMILIKI | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||