Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 08066 | Date 13/04/2020 |
| Token No | SM/19-20/21049 13/04/2020 | Serial | 017 Last Visit: 13/04/2020 |
| Patient Name | Mr. TOTON MAJHI | Contact No | 6291980496 |
| Address | RAMKRISHNA POLLI, | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||