Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10569 | Date 17/01/2022 |
| Token No | SM/21-22/9303 25/01/2022 | Serial | 008 Last Visit: 01/02/2022 |
| Patient Name | Mr. BASANT JAYDEB MAJHI | Contact No | 8879197997 |
| Address | MUMBAI | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||