Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05620 | Date 29/06/2019 |
| Token No | SM/19-20/8893 21/08/2019 | Serial | 055 Last Visit: 21/08/2019 |
| Patient Name | Mr. AAYUSH PRASAD | Contact No | 7980940927 |
| Address | TIRUMALA APARTMENT FLAT NO-503 10/1 R.B.C ROAD , RISHRA | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||