Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10460 | Date 27/12/2021 |
| Token No | SM/21-22/8174 27/12/2021 | Serial | 066 Last Visit: 27/12/2021 |
| Patient Name | Mr. PRAKASH KUMAR THAKUR | Contact No | 9903880213 |
| Address | 23A BENIA PARA | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||