Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09828 | Date 10/07/2021 |
| Token No | SM/21-22/3067 10/07/2021 | Serial | 007 Last Visit: 24/07/2024 |
| Patient Name | Baby TATSHAVI AGRAWAL | Contact No | 8902393975 |
| Address | 23/A/2 LAL BAHADUR SHASTRI ROAD | Age | 8 Years,6 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||