Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06896 | Date 18/11/2019 |
| Token No | SM/19-20/13490 18/11/2019 | Serial | 065 Last Visit: 18/11/2019 |
| Patient Name | Mr. KRISH SINH | Contact No | |
| Address | GANDHI SARAK , RISHRA (M) | Age | 4.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||