Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00323 | Date 10/08/2018 |
| Token No | SM/18-19/349 10/08/2018 | Serial | 037 Last Visit: 10/08/2018 |
| Patient Name | Master SK REHAN | Contact No | |
| Address | SHEWRAPHULI | Age | 6.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||