Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 12134 | Date 05/06/2023 |
| Token No | SM/22-23/21999 05/06/2023 | Serial | 019 Last Visit: 05/06/2023 |
| Patient Name | Mr. TARAK BAIRAGI | Contact No | 8420352191 |
| Address | 53 K M SHAH STREET | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||