Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01841 | Date 01/11/2018 |
| Token No | SM/18-19/3309 01/11/2018 | Serial | 058 Last Visit: 26/11/2018 |
| Patient Name | Master BEER CHOWDHURI | Contact No | 9007226251 |
| Address | 663 G T ROAD | Age | 2 MANTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||