Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02933 | Date 09/01/2019 |
| Token No | SM/18-19/6573 09/01/2019 | Serial | 062 Last Visit: 09/01/2019 |
| Patient Name | Mr. SAHABUDDIN | Contact No | 9007993724 |
| Address | 5 ARABINDA SARANI | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||