Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05744 | Date 13/07/2019 |
| Token No | SM/19-20/6343 13/07/2019 | Serial | 007 Last Visit: 13/07/2019 |
| Patient Name | Mr. VIJAY PASWAN | Contact No | |
| Address | 10 ROY GHAT,M G ROAD | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||