Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08431 | Date 26/06/2020 |
| Token No | SM/19-20/23450 26/06/2020 | Serial | 025 Last Visit: 26/06/2020 |
| Patient Name | Mr. PARESH BARUI | Contact No | 8670476479 |
| Address | KAIKALA,HARIPAL | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||