Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00448 | Date 14/08/2018 |
| Token No | SM/18-19/500 14/08/2018 | Serial | 041 Last Visit: 14/08/2018 |
| Patient Name | Master ANSH RAJGUPTA | Contact No | |
| Address | 10, M.G. ROAD | Age | 2.9 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||