Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00060 | Date 02/08/2018 |
| Token No | SM/18-19/60 02/08/2018 | Serial | 026 Last Visit: 02/08/2018 |
| Patient Name | Mr. SK. ROHIT KHATUN | Contact No | |
| Address | MUSALMAN PARA CHATRA | Age | 8 Years,3 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||