Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06641 | Date 15/10/2019 |
| Token No | SM/19-20/11746 15/10/2019 | Serial | 024 Last Visit: 15/10/2019 |
| Patient Name | Master RIVAAN YADAV | Contact No | 9830016748 |
| Address | 25 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 1.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||