Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05386 | Date 11/06/2019 |
| Token No | SM/19-20/4367 11/06/2019 | Serial | 043 Last Visit: 11/06/2019 |
| Patient Name | Mr. AJAY KUMAR PAIRA | Contact No | 8240217939 |
| Address | NS AVENUE (WORK AT OM CASUAL DINING RESTURANT) | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||