Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08028 | Date 06/04/2020 |
| Token No | SM/19-20/20798 06/04/2020 | Serial | 049 Last Visit: 06/04/2020 |
| Patient Name | Mr. ROHIT PANDE | Contact No | 8777351085 |
| Address | 62/ARAYLANE ROAD PANCHUBABU BAJAR | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||