Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07902 | Date 24/03/2020 |
| Token No | SM/19-20/20201 24/03/2020 | Serial | 022 Last Visit: 24/03/2020 |
| Patient Name | Mr. SK KHALID | Contact No | 8013702481 |
| Address | 5 ARABINDA SARANI,CHATRA | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||