Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 10543 | Date 11/01/2022 |
| Token No | SM/21-22/8827 11/01/2022 | Serial | 018 Last Visit: 11/01/2022 |
| Patient Name | Master M.D SURAJ | Contact No | |
| Address | MIYAJAN DARJI LANE | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | 126 cm BMI: 13.857395 |
| Diagnosis | |||