Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12053 | Date 26/04/2023 |
| Token No | SM/22-23/21321 26/04/2023 | Serial | 015 Last Visit: 26/04/2023 |
| Patient Name | Mr. SARASWATI PAUL | Contact No | 8017570530 |
| Address | RAMNAGAR TAGRA | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||