Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01072 | Date 12/09/2018 |
| Token No | SM/18-19/1557 12/09/2018 | Serial | 023 Last Visit: 13/10/2018 |
| Patient Name | Mr. MD ASIM | Contact No | 9681296531 |
| Address | 45/A N N ROY STREET | Age | 43.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 129/80 mmHg | Weight | 58 KG |
| Pulse Rate | 90 / min | Height | cm BMI: inf |
| Diagnosis | |||