Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00370 | Date 11/08/2018 |
| Token No | SM/18-19/404 11/08/2018 | Serial | 036 Last Visit: 11/08/2018 |
| Patient Name | Master RONAK MOHAMMAD | Contact No | |
| Address | MUSALMAN PARA, CHATRA | Age | 1.1 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 8 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||