Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08080 | Date 13/04/2020 |
| Token No | SM/19-20/21115 13/04/2020 | Serial | 083 Last Visit: 13/04/2020 |
| Patient Name | Baby JINAT PARVIN | Contact No | 9874313260 |
| Address | NOGAR MOR | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||