Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10183 | Date 07/10/2021 |
| Token No | SM/21-22/5849 07/10/2021 | Serial | 032 Last Visit: 07/10/2021 |
| Patient Name | Mr. AKSHAY KSHATRAPAL | Contact No | 7699598309 |
| Address | CHOTKHANDA MEMORY | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||