Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08416 | Date 24/06/2020 |
| Token No | SM/19-20/24526 28/07/2020 | Serial | 009 Last Visit: 04/08/2020 |
| Patient Name | Mr. RAJU DAS | Contact No | 8584894159 |
| Address | 1/A RAILAND CIRCULAR ROAD MAHESH | Age | 60 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||