Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08577 | Date 21/07/2020 |
| Token No | SM/19-20/24339 22/07/2020 | Serial | 017 Last Visit: 22/07/2020 |
| Patient Name | Mr. RAM KUMAR SUKUL | Contact No | |
| Address | UPHC-I | Age | 73 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||