Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08565 | Date 20/07/2020 |
| Token No | SM/19-20/24250 20/07/2020 | Serial | 023 Last Visit: 24/07/2020 |
| Patient Name | Mr. MURARI SAH | Contact No | 9339340318 |
| Address | 43/E B.P. 2ND LANE | Age | 36 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||