Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 12360 | Date 23/08/2023 |
| Token No | SM/22-23/23824 23/08/2023 | Serial | 033 Last Visit: 23/08/2023 |
| Patient Name | Mr. MD BHOLA | Contact No | 9874025569 |
| Address | 56 N.N. ROY STREET | Age | 32 Years,7 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||