Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07120 | Date 11/12/2019 |
| Token No | SM/19-20/15044 11/12/2019 | Serial | 023 Last Visit: 11/12/2019 |
| Patient Name | Mr. SANJU SK | Contact No | 8335885134 |
| Address | SEORAPHULI | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||