Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07816 | Date 17/03/2020 |
| Token No | SM/19-20/19769 17/03/2020 | Serial | 028 Last Visit: 17/03/2020 |
| Patient Name | Mr. SHIDHANT SHA | Contact No | 8777468154 |
| Address | 28/A TINBAZAR BYE LANE | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||