Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02561 | Date 17/12/2018 |
| Token No | SM/20-21/27263 06/11/2020 | Serial | 051 Last Visit: 10/02/2024 |
| Patient Name | Mr. RAKESH SHAW | Contact No | 8478849916 |
| Address | K M SHAW STREET | Age | 38 Years,1 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||