Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00624 | Date 21/08/2018 |
| Token No | SM/18-19/746 21/08/2018 | Serial | 044 Last Visit: 21/08/2018 |
| Patient Name | Mr. SK MEHUB | Contact No | 9674023586 |
| Address | KUMAR PARA | Age | 9.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||