Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00599 | Date 21/08/2018 |
| Token No | SM/18-19/712 21/08/2018 | Serial | 010 Last Visit: 21/08/2018 |
| Patient Name | Master SK HUSSAIN | Contact No | |
| Address | BARO BELUR KAL TALA | Age | 1.6 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||