Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01175 | Date 15/09/2018 |
| Token No | SM/18-19/1726 15/09/2018 | Serial | 046 Last Visit: 15/09/2018 |
| Patient Name | Mr. AFTAB HUSSIAN | Contact No | 8444805902 |
| Address | 56 RAY GHAT LANE | Age | 35 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 75.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||