Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08203 | Date 04/05/2020 |
| Token No | SM/19-20/21865 04/05/2020 | Serial | 009 Last Visit: 04/05/2020 |
| Patient Name | Mr. RUDRA JAYGANESH | Contact No | 9007555481 |
| Address | 7/A ROY GHAT LANE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||