Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08219 | Date 05/05/2020 |
| Token No | SM/19-20/21941 05/05/2020 | Serial | 022 Last Visit: 05/05/2020 |
| Patient Name | Mr. DURJODHAN BISWAL | Contact No | 8478960834 |
| Address | 121 R. B. SARANI | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||