Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00661 | Date 24/08/2018 |
| Token No | SM/21-22/1132 04/05/2021 | Serial | 025 Last Visit: 10/02/2024 |
| Patient Name | Mr. GAUTAM MAJHI | Contact No | 9681095317 |
| Address | RAJDHARPUR | Age | 42 Years,1 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||