Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08447 | Date 29/06/2020 |
| Token No | SM/19-20/24580 28/07/2020 | Serial | 063 Last Visit: 25/08/2020 |
| Patient Name | Master MD ROHIT | Contact No | |
| Address | 15 CHATRA, MUSALMAN PARA | Age | 1 Y 6 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||