Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00411 | Date 13/08/2018 |
| Token No | SM/18-19/8590 13/02/2019 | Serial | 057 Last Visit: 22/01/2020 |
| Patient Name | Baby SAFIYA KHATUN | Contact No | 8420234270 |
| Address | AUROBINDO SARANI | Age | 1.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||