Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09927 | Date 11/08/2021 |
| Token No | SM/21-22/3950 11/08/2021 | Serial | 013 Last Visit: 11/08/2021 |
| Patient Name | Mr. KANHAIYA KUMAR MANJHI | Contact No | 7003388692 |
| Address | 121,R.B SARANI SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||