Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06052 | Date 05/08/2019 |
| Token No | SM/19-20/7937 05/08/2019 | Serial | 076 Last Visit: 05/08/2019 |
| Patient Name | Mr. PARAS RAJBHAR | Contact No | 9831165762 |
| Address | 27 BAJAR BYE LANE TINBAJAR | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||