Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00148 | Date 06/08/2018 |
| Token No | SM/20-21/27089 03/11/2020 | Serial | 014 Last Visit: 11/01/2021 |
| Patient Name | Mr. SK DANISH | Contact No | 9748252282 |
| Address | CHATRA MUSLMAN PARA | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||