Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 12694 | Date 02/11/2023 |
| Token No | SM/22-23/25852 02/11/2023 | Serial | 023 Last Visit: 02/11/2023 |
| Patient Name | Mr. AYUSH PANDEY | Contact No | 7890704414 |
| Address | 171/54B BAIDYABATI KAJU PARA (MIR PARA) | Age | 6 Years,0 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 18.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||