Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09827 | Date 09/07/2021 |
| Token No | SM/21-22/3060 09/07/2021 | Serial | 040 Last Visit: 09/07/2021 |
| Patient Name | Mr. RITESH PRASAD | Contact No | 8820982458 |
| Address | 122, RISHI BANKIM SARANI | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||