Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08912 | Date 28/10/2020 |
| Token No | SM/20-21/26971 28/10/2020 | Serial | 025 Last Visit: 28/10/2020 |
| Patient Name | Mr. SAROJ KUMAR | Contact No | |
| Address | CHOTO BELUR CHECK POST | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||