Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01043 | Date 11/09/2018 |
| Token No | SM/18-19/1502 11/09/2018 | Serial | 032 Last Visit: 11/09/2018 |
| Patient Name | Mr. SK IMRAJE | Contact No | 8336826104 |
| Address | NOUGAR MOR | Age | 11.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||