Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01312 | Date 24/09/2018 |
| Token No | SM/19-20/12546 31/10/2019 | Serial | 067 Last Visit: 31/10/2019 |
| Patient Name | Master SK FARHAN | Contact No | 9007755751 |
| Address | 4/A AROBINDA SARANI | Age | 1 YRS 6 MNTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||