Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02307 | Date 03/12/2018 |
| Token No | SM/18-19/4594 03/12/2018 | Serial | 060 Last Visit: 03/12/2018 |
| Patient Name | Master SK ADNAN | Contact No | 8444979212 |
| Address | CHATRA ARABINDA SWARANI | Age | 5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||