Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07600 | Date 22/02/2020 |
| Token No | SM/19-20/19476 12/03/2020 | Serial | 038 Last Visit: 12/03/2020 |
| Patient Name | Mr. SOHAL ALI | Contact No | 9330529847 |
| Address | 16/C RABINDRA BHABAN ROAD, | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||