Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03583 | Date 09/12/2019 |
| Token No | SM/19-20/7948 09/12/2019 | Serial | 021 |
| Patient Name | Mr. NARESH RAJBHAR | Contact No | 9330888047 |
| Address | TIN BAZAR | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||