Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05850 | Date 19/07/2019 |
| Token No | SM/19-20/9564 31/08/2019 | Serial | 045 Last Visit: 31/08/2019 |
| Patient Name | Mr. ISWAR RAM | Contact No | 8697040463 |
| Address | 10 MAHATMA GANDHI ROAD, | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||