Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05024 | Date 07/05/2019 |
| Token No | SM/19-20/2250 07/05/2019 | Serial | 031 Last Visit: 23/07/2019 |
| Patient Name | Master MD ARYAN | Contact No | 8697619357 |
| Address | 12 CHATRA MUSALMAN PARA | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||