Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05374 | Date 10/06/2019 |
| Token No | SM/19-20/4305 10/06/2019 | Serial | 087 Last Visit: 10/06/2019 |
| Patient Name | Mr. IRFAN ALAM | Contact No | |
| Address | RISHRA | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||