Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05304 | Date 30/05/2019 |
| Token No | SM/19-20/22431 22/05/2020 | Serial | 041 Last Visit: 03/11/2021 |
| Patient Name | Mr. SK RAJU | Contact No | 8017676928 |
| Address | SHEORAPHULI | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||