Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00409 | Date 13/08/2018 |
| Token No | SM/18-19/451 13/08/2018 | Serial | 042 Last Visit: 13/12/2018 |
| Patient Name | Master MD. HASAN | Contact No | 7278658023 |
| Address | 7, AUROBINDO SARANI | Age | 6.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||