Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07255 | Date 30/12/2019 |
| Token No | SM/19-20/16044 30/12/2019 | Serial | 033 Last Visit: 30/12/2019 |
| Patient Name | Master MANISH RAJBAHR | Contact No | 8820041790 |
| Address | 27 BAZAR BYE LANE | Age | 6 YARS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||