Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12113 | Date 24/05/2023 |
| Token No | SM/22-23/21831 24/05/2023 | Serial | 018 Last Visit: 24/05/2023 |
| Patient Name | Mr. SHIVAJIT YADAV | Contact No | 9836262667 |
| Address | 2 CHATRA CHOWDHURY PARA LANE | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||