Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03577 | Date 09/12/2019 |
| Token No | SM/19-20/7937 09/12/2019 | Serial | 010 |
| Patient Name | Mr. RABI JAISWARA | Contact No | 9330237323 |
| Address | 7 dey ghat lane | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||