Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08207 | Date 04/05/2020 |
| Token No | SM/19-20/21885 04/05/2020 | Serial | 029 Last Visit: 04/05/2020 |
| Patient Name | Mr. TARAK KUMAR SINGH | Contact No | 7890224355 |
| Address | 10 MAHATMA GANDHI ROAD, | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||