Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04491 | Date 01/04/2019 |
| Token No | SM/19-20/3 01/04/2019 | Serial | 003 Last Visit: 01/04/2019 |
| Patient Name | Mr. MD DANISH | Contact No | 8697774247 |
| Address | CHATUIGANJ CHATRA MUSALAMAN PARA | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||