Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00185 | Date 07/08/2018 |
| Token No | SM/18-19/10891 19/03/2019 | Serial | 084 Last Visit: 19/03/2019 |
| Patient Name | Mr. SK JAMSED | Contact No | 8926227358 |
| Address | MURSHIDABAD | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 82 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||