Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08223 | Date 05/05/2020 |
| Token No | SM/19-20/21955 05/05/2020 | Serial | 036 Last Visit: 05/05/2020 |
| Patient Name | Mr. TRILOCHANA SETHI | Contact No | 7595902006 |
| Address | 66/ N. T. ROAD,MUSALMAN PARA | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||