Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09828 | Date 10/07/2021 |
| Token No | SM/24-25/31109 04/04/2024 | Serial | 044 Last Visit: 24/07/2024 |
| Patient Name | Baby TATSHAVI AGRAWAL | Contact No | 8902393975 |
| Address | 23/A/2 LAL BAHADUR SHASTRI ROAD | Age | 8 Years,6 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||