Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02156 | Date 27/11/2018 |
| Token No | SM/18-19/8938 18/02/2019 | Serial | 111 Last Visit: 11/07/2019 |
| Patient Name | Mr. RIYA YADAB | Contact No | 9836262667 |
| Address | CHATRA DOL TALA | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||