Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06546 | Date 26/09/2019 |
| Token No | SM/19-20/11407 01/10/2019 | Serial | 025 Last Visit: 01/10/2019 |
| Patient Name | Master SK RABIUDDIN | Contact No | 9330221311 |
| Address | 21 CHATRA KUMAR PARA | Age | 3 Y 5 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||