Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02926 | Date 09/01/2019 |
| Token No | SM/18-19/6558 09/01/2019 | Serial | 047 Last Visit: 09/01/2019 |
| Patient Name | Miss SAKSHI VERMA | Contact No | 9903788868 |
| Address | 11 CHAKRABORTY LANE | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 24.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||