Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08639 | Date 17/08/2020 |
| Token No | SM/19-20/24867 17/08/2020 | Serial | 029 Last Visit: 17/08/2020 |
| Patient Name | Mr. MD RAMJAN | Contact No | 9681692562 |
| Address | 13 BAZAR BYE LANE(TIN BAZAR) | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||