Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05072 | Date 11/05/2019 |
| Token No | SM/19-20/2563 11/05/2019 | Serial | 051 Last Visit: 30/08/2025 |
| Patient Name | Mr. BABBAN | Contact No | 9163441625 |
| Address | 429,THAGAWAPUR,FAIZABAD, | Age | 30 Years,0 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||