Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09296 | Date 08/03/2021 |
| Token No | SM/20-21/30490 08/03/2021 | Serial | 015 Last Visit: 08/03/2021 |
| Patient Name | Mr. SK AMAN | Contact No | |
| Address | 7 ARABINDA SARANII | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||