Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13353 | Date 28/02/2024 |
| Token No | SM/24-25/32119 04/05/2024 | Serial | 036 Last Visit: 08/06/2024 |
| Patient Name | Mr. SUMIT RAM | Contact No | |
| Address | NS ROAD RISHRA | Age | 17 Years,9 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||