Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06919 | Date 19/11/2019 |
| Token No | SM/19-20/13578 19/11/2019 | Serial | 075 Last Visit: 19/11/2019 |
| Patient Name | Mr. RANJIT SINGH | Contact No | |
| Address | GANDHI SARAK , RISHRA | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||