Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01268 | Date 22/09/2018 |
| Token No | SM/18-19/1928 22/09/2018 | Serial | 041 Last Visit: 22/09/2018 |
| Patient Name | Other UPHC-I | Contact No | |
| Address | G.T. ROAD MAHESH | Age | 1 Year Other |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||