Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08755 | Date 18/09/2020 |
| Token No | SM/20-21/25821 18/09/2020 | Serial | 071 Last Visit: 18/09/2020 |
| Patient Name | Master SK SAHID | Contact No | 9088523975 |
| Address | 35 CHATRA MUSALMAN PARA | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||