Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05979 | Date 27/07/2019 |
| Token No | SM/19-20/7452 27/07/2019 | Serial | 064 Last Visit: 27/07/2019 |
| Patient Name | Mr. TARAK GUPTA | Contact No | 9051751460 |
| Address | 9/B VIVEKANANDA LANE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||