Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08277 | Date 22/05/2020 |
| Token No | SM/19-20/22407 22/05/2020 | Serial | 017 Last Visit: 22/05/2020 |
| Patient Name | Master MOHAMMAD ALFAJ | Contact No | 8100853668 |
| Address | 21 KANAI DEWAN TALA LANE SERAMPORE | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||