Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10593 | Date 20/01/2022 |
| Token No | SM/21-22/9179 20/01/2022 | Serial | 038 Last Visit: 20/01/2022 |
| Patient Name | Mr. RAJKUMAR RAM | Contact No | 9038885914 |
| Address | DANABANR | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||