Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08478 | Date 04/07/2020 |
| Token No | SM/19-20/23737 04/07/2020 | Serial | 006 Last Visit: 04/07/2020 |
| Patient Name | Mr. DHARMENDRA KUMAR MAJHI | Contact No | 9903873828 |
| Address | 121 R.B. SARANI | Age | 44 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||