Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03302 | Date 02/02/2019 |
| Token No | SM/19-20/18073 14/02/2020 | Serial | 030 Last Visit: 13/03/2020 |
| Patient Name | Mr. MD JAKIR | Contact No | 9836542431 |
| Address | 33/A CHATRA MUSALMAN PARA | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||