Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07793 | Date 14/03/2020 |
| Token No | SM/19-20/19644 14/03/2020 | Serial | 047 Last Visit: 23/08/2021 |
| Patient Name | Mr. MD AJIM | Contact No | 8100025410 |
| Address | CHAPDANI G T ROAD , BHADESWAR, CHAPDANI (M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||