Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00498 | Date 17/08/2018 |
| Token No | SM/18-19/566 17/08/2018 | Serial | 004 Last Visit: 17/08/2018 |
| Patient Name | Mr. SANJAY POREL | Contact No | |
| Address | 32, BHADURI PARA LANE | Age | 13.0 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||