Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01512 | Date 04/10/2018 |
| Token No | SM/18-19/2459 04/10/2018 | Serial | 057 Last Visit: 04/10/2018 |
| Patient Name | Master MD ARYAN | Contact No | 8479924056 |
| Address | CHATRA MUSALMAN PARA | Age | 20 MNTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||