Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07985 | Date 01/04/2020 |
| Token No | SM/19-20/20594 01/04/2020 | Serial | 016 Last Visit: 01/04/2020 |
| Patient Name | Baby ALISHA KHATOON | Contact No | 8159802967 |
| Address | CHATRA MUSALMAN PARA | Age | 4 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||