Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02143 | Date 26/11/2018 |
| Token No | SM/18-19/5083 11/12/2018 | Serial | 063 Last Visit: 10/11/2020 |
| Patient Name | Master RAUNAK PARVEEN | Contact No | 9073311180 |
| Address | 13, CHATRA MUSALMAN PARA | Age | 1 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||