Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08532 | Date 13/07/2020 |
| Token No | SM/19-20/24050 13/07/2020 | Serial | 020 Last Visit: 13/07/2020 |
| Patient Name | Master MOHAMMAD SAHID | Contact No | 9330621815 |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 2.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||