Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05406 | Date 13/06/2019 |
| Token No | SM/19-20/4469 13/06/2019 | Serial | 024 Last Visit: 18/06/2019 |
| Patient Name | Mr. MD YUSUF | Contact No | 8584943836 |
| Address | 15 BAJAR BYE LANE TINBAJAR | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||