Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01870 | Date 02/11/2018 |
| Token No | SM/18-19/3385 02/11/2018 | Serial | 069 Last Visit: 02/11/2018 |
| Patient Name | Master MD NAMAJIS | Contact No | 7686829852 |
| Address | CHAYRA MUSALMAN PARA BY LANE | Age | 4 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||