Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06157 | Date 19/08/2019 |
| Token No | SM/19-20/8715 19/08/2019 | Serial | 169 Last Visit: 02/09/2019 |
| Patient Name | Mr. ABDUL KALAM | Contact No | 8013939885 |
| Address | 7 P. C. D. BAZAR ROAD,RISHRA(M) | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||