Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07340 | Date 14/01/2020 |
| Token No | SM/19-20/18095 14/02/2020 | Serial | 052 Last Visit: 14/02/2020 |
| Patient Name | Mr. MOHAMMAD FUL HASSAN | Contact No | 9748044643 |
| Address | 7 ARABINDA SARANI, CHATRA | Age | 8.2 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||