Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01869 | Date 02/11/2018 |
| Token No | SM/18-19/3384 02/11/2018 | Serial | 068 Last Visit: 02/11/2018 |
| Patient Name | Master MD SAHIL | Contact No | 7686829852 |
| Address | CHATRA MUSALMAN PARA BY LANE | Age | 7 MANTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||