Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10011 | Date 31/08/2021 |
| Token No | SM/21-22/10824 16/03/2022 | Serial | 012 Last Visit: 01/08/2022 |
| Patient Name | Baby SURA YASHMIN | Contact No | 9874158416 |
| Address | CHANDITALA | Age | 1YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||