Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04127 | Date 09/03/2019 |
| Token No | SM/18-19/10269 09/03/2019 | Serial | 060 Last Visit: 09/03/2019 |
| Patient Name | Mr. ADARSH UPDHAYAY | Contact No | 9051746995 |
| Address | 24 ROY GHAT LANE SERAMPORE | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||