Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00339 | Date 10/08/2018 |
| Token No | SM/18-19/366 10/08/2018 | Serial | 054 Last Visit: 29/05/2024 |
| Patient Name | Mr. MD. ALI | Contact No | |
| Address | CHATRA M.P | Age | 13 Years,4 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||