Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10603 | Date 25/01/2022 |
| Token No | SM/21-22/9490 31/01/2022 | Serial | 023 Last Visit: 16/06/2025 |
| Patient Name | Mr. KUNAL GUPTA | Contact No | 8961340010 |
| Address | 15 KAPURIYA PATTI, | Age | 8 Years,5 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||