Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08122 | Date 20/04/2020 |
| Token No | SM/19-20/22205 13/05/2020 | Serial | 013 Last Visit: 13/05/2020 |
| Patient Name | Mr. BIKASH MISHRA | Contact No | 9693600130 |
| Address | 65/A/18 PHIRINGI DANGA ROAD, | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||