Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08494 | Date 07/07/2020 |
| Token No | SM/19-20/23844 07/07/2020 | Serial | 009 Last Visit: 07/07/2020 |
| Patient Name | Mr. CHOTKA RAJBHAR | Contact No | |
| Address | 40 LAL BHADUR SASTRI ROAD,(TIN BAZER) | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||