Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09169 | Date 13/01/2021 |
| Token No | SM/20-21/29333 13/01/2021 | Serial | 056 Last Visit: 27/02/2021 |
| Patient Name | Mr. SK ABDUL | Contact No | |
| Address | CHATRA KUMAR PARA | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||