Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01827 | Date 01/11/2018 |
| Token No | SM/18-19/3602 12/11/2018 | Serial | 080 Last Visit: 12/11/2018 |
| Patient Name | Baby PRITI KHATUN | Contact No | 8697098429 |
| Address | MUSALMAN PARA CHATRA | Age | 3 M Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||