Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02775 | Date 31/12/2018 |
| Token No | SM/18-19/6087 31/12/2018 | Serial | 086 Last Visit: 08/01/2019 |
| Patient Name | Mr. PRIYANSHU SINGH | Contact No | 8777675078 |
| Address | 10 M G ROAD | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||