Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01146 | Date 14/09/2018 |
| Token No | SM/18-19/1672 14/09/2018 | Serial | 038 Last Visit: 14/09/2018 |
| Patient Name | Mr. SK SOHAIL | Contact No | 7003666285 |
| Address | 15, MUSALMAN PARA CHATRA | Age | 15.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||