Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01248 | Date 20/09/2018 |
| Token No | SM/18-19/1881 20/09/2018 | Serial | 032 Last Visit: 20/09/2018 |
| Patient Name | Mr. SK ATIULLA | Contact No | |
| Address | SHEWRAPHULI, | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/75 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||