Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07991 | Date 01/04/2020 |
| Token No | SM/19-20/20619 01/04/2020 | Serial | 041 Last Visit: 01/04/2020 |
| Patient Name | Mr. SK ALAMIN | Contact No | 9836455988 |
| Address | 42 N. N. ROY STREET | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||