Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01578 | Date 09/10/2018 |
| Token No | SM/18-19/2639 09/10/2018 | Serial | 028 Last Visit: 09/10/2018 |
| Patient Name | Mr. TASIF RAJA | Contact No | 9748284723 |
| Address | 24 PARSI LANE | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||