Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06835 | Date 11/11/2019 |
| Token No | SM/19-20/13040 11/11/2019 | Serial | 082 Last Visit: 11/11/2019 |
| Patient Name | Master MD ISTHIKAR | Contact No | |
| Address | 12 MUSALMAN PARA BYE LANE SERAMPORE | Age | 9 MONTH Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||