Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07545 | Date 14/02/2020 |
| Token No | SM/19-20/19651 14/03/2020 | Serial | 054 Last Visit: 20/04/2020 |
| Patient Name | Mr. KASHINATH BAGUI | Contact No | 9903565886 |
| Address | BIBIRBERA,GHORAMARA(P) | Age | 55 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||