Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08018 | Date 06/04/2020 |
| Token No | SM/19-20/20762 06/04/2020 | Serial | 013 Last Visit: 06/04/2020 |
| Patient Name | Master SK.SHAHRUKH | Contact No | 9330530225 |
| Address | 29/A CHATRA MUSALMAN PARA BYE LANE | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||