Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08432 | Date 26/06/2020 |
| Token No | SM/19-20/23451 26/06/2020 | Serial | 026 Last Visit: 26/06/2020 |
| Patient Name | Mr. SHIBU MALIK | Contact No | 9932630777 |
| Address | RAMNAGAR,TAREKESWAR,TAGRA | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||