Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12184 | Date 27/06/2023 |
| Token No | SM/22-23/22458 27/06/2023 | Serial | 021 Last Visit: 27/06/2023 |
| Patient Name | Mr. SURAJ SINGH | Contact No | 8294054654 |
| Address | RISHRA BAGKHAL | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||