Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 11110 | Date 09/06/2022 |
| Token No | SM/22-23/13373 09/06/2022 | Serial | 026 Last Visit: 09/06/2022 |
| Patient Name | Mr. GOPAL POREL | Contact No | 8482065413 |
| Address | 80/B/1 G.T. ROAD WEST | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 167.5 cm BMI: 17.821341 |
| Diagnosis | |||