Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05790 | Date 15/07/2019 |
| Token No | SM/19-20/24786 06/08/2020 | Serial | 061 Last Visit: 06/08/2020 |
| Patient Name | Mr. MD MAJID KHA | Contact No | 9062095968 |
| Address | 57 /G/C/C G. T. ROAD PAMPA NAGAR CHATRA | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||