Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09286 | Date 05/03/2021 |
| Token No | SM/20-21/30419 05/03/2021 | Serial | 041 Last Visit: 05/03/2021 |
| Patient Name | Master SK MURTUJA | Contact No | 9330557726 |
| Address | CHATRA,KUMAR PARA, | Age | 2Y 6 M Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||