Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 03343 | Date 07/11/2019 |
| Token No | SM/18-19/7315 07/11/2019 | Serial | 032 |
| Patient Name | Master RAJVIR PATWA | Contact No | 9748184774 |
| Address | 115 R B SARANI | Age | 6 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||