Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09538 | Date 24/04/2021 |
| Token No | SM/21-22/1102 03/05/2021 | Serial | 050 Last Visit: 03/05/2021 |
| Patient Name | Mr. RAJ KUMAR | Contact No | 8240969931 |
| Address | 16,KUMAR PATTY LANE SERAMPORE | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||