Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08254 | Date 14/05/2020 |
| Token No | SM/19-20/22228 14/05/2020 | Serial | 012 Last Visit: 09/06/2020 |
| Patient Name | Mr. BIRENDRA KUMAR SHAW | Contact No | 9641044164 |
| Address | 21 CHATRA MUSALMAN PARA | Age | 35 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||