Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08461 | Date 02/07/2020 |
| Token No | SM/24-25/33444 08/06/2024 | Serial | 034 Last Visit: 08/06/2024 |
| Patient Name | Mr. GOPAL PRASAD KESARI | Contact No | |
| Address | MAHESH | Age | 51 Years,5 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||