Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00414 | Date 13/08/2018 |
| Token No | SM/18-19/457 13/08/2018 | Serial | 048 Last Visit: 13/08/2018 |
| Patient Name | Master SK. NOOR ALAM | Contact No | |
| Address | 7, AUROBINDO SARANI | Age | 2 Years,4 Months,30 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||