Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03935 | Date 01/03/2019 |
| Token No | SM/18-19/10949 20/03/2019 | Serial | 054 Last Visit: 13/05/2019 |
| Patient Name | Mr. MD JAHANGIR | Contact No | 8777237244 |
| Address | 37/A/2 MUSALMAN PARA LANE(TIKIYA PARA) | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 103 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||