Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09450 | Date 07/04/2021 |
| Token No | SM/21-22/271 07/04/2021 | Serial | 046 Last Visit: 07/04/2021 |
| Patient Name | Mr. SOURAV KHAN | Contact No | 8420677572 |
| Address | MOLLASIMLA | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||