Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12081 | Date 10/05/2023 |
| Token No | SM/22-23/21554 10/05/2023 | Serial | 075 Last Visit: 10/05/2023 |
| Patient Name | Mr. SHANKAR THAKUR | Contact No | 9674825653 |
| Address | RISHRA MOREPUKUR | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||