Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02554 | Date 17/12/2018 |
| Token No | SM/19-20/23362 25/06/2020 | Serial | 001 Last Visit: 25/06/2020 |
| Patient Name | Mr. RAMCHANDRA JHA | Contact No | 8017317119 |
| Address | 23, N.N ROY STREET | Age | 70 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||