Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07455 | Date 03/02/2020 |
| Token No | SM/19-20/17478 03/02/2020 | Serial | 008 Last Visit: 03/02/2020 |
| Patient Name | Master RAHIM BABU | Contact No | 7439098615 |
| Address | 5/11 A. B. ROAD,RISHRA | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||