Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08004 | Date 02/04/2020 |
| Token No | SM/19-20/20669 02/04/2020 | Serial | 048 Last Visit: 14/05/2020 |
| Patient Name | Master JANNAT ALI | Contact No | 7595930491 |
| Address | 12 CHATRA MUSALMANPARA | Age | 2.5YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||