Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09288 | Date 05/03/2021 |
| Token No | SM/20-21/30437 05/03/2021 | Serial | 059 Last Visit: 05/03/2021 |
| Patient Name | Mr. PREM ROUTH | Contact No | 8670349775 |
| Address | KHAMAER GACHI, | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||