Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10041 | Date 03/09/2021 |
| Token No | SM/21-22/4727 03/09/2021 | Serial | 047 Last Visit: 03/09/2021 |
| Patient Name | Mr. REHAN | Contact No | 9433902238 |
| Address | 21 CHATRA MUSA;LMANPARA, | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||