Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10110 | Date 22/09/2021 |
| Token No | SM/21-22/5345 22/09/2021 | Serial | 021 Last Visit: 22/09/2021 |
| Patient Name | Master ANIKET KURMI | Contact No | |
| Address | 12 NO. BAZAR BYE LANE | Age | 4.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||