Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00487 | Date 16/08/2018 |
| Token No | SM/18-19/547 16/08/2018 | Serial | 035 Last Visit: 16/08/2018 |
| Patient Name | Master MD. FEZAN | Contact No | 8444979212 |
| Address | CHATRA ARBINDO SARANI | Age | 2.6 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||