Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05646 | Date 02/07/2019 |
| Token No | SM/19-20/5771 02/07/2019 | Serial | 061 Last Visit: 02/07/2019 |
| Patient Name | Master S K MIJANUR | Contact No | 9007712385 |
| Address | 20 CHATRA MUSALMAN PARA | Age | 11 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||