Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00744 | Date 27/08/2018 |
| Token No | SM/18-19/921 27/08/2018 | Serial | 054 Last Visit: 27/08/2018 |
| Patient Name | Master MAINUDIN | Contact No | 9007152516 |
| Address | 5, ARBNDA SARANI | Age | 4.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||