Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03989 | Date 05/03/2019 |
| Token No | SM/20-21/26927 22/10/2020 | Serial | 015 Last Visit: 22/10/2020 |
| Patient Name | Mr. MARSHID JAHAN | Contact No | 9163350186 |
| Address | CHATRA MUSALMAN PARA SERAMPORE | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||