Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10073 | Date 11/09/2021 |
| Token No | SM/21-22/4982 11/09/2021 | Serial | 011 Last Visit: 25/09/2021 |
| Patient Name | Mr. SANKAR SANS | Contact No | 7649759844 |
| Address | BAKSHA | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||