Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08096 | Date 16/04/2020 |
| Token No | SM/19-20/21228 16/04/2020 | Serial | 070 Last Visit: 16/04/2020 |
| Patient Name | Mr. SK SAHEB | Contact No | 6290608104 |
| Address | SHEORAPHULY,KHOTIR PARA | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||